Watchman左心耳封堵器的临床应用.docVIP

Watchman左心耳封堵器的临床应用 姚青1 宋治远1,※ 舒茂琴1 郭燕丽2 钟理1 王文婷2 申斌2 李华康1 柴虹1 朱平1 刘锋1 陈霞1 1:第三军医大学附属西南医院心内科，重庆市介入治疗研究所 2:第三军医大学附属西南医院超声诊断科 ※:通讯作者：办公室电话 023邮箱：zysong2010@126.com 摘要：目的：通过应用Watchman左心耳封堵器对非瓣膜病房颤患者左心耳进行封堵治疗，评价左心耳封堵效果与安全性。方法：收集我院近期完成的应用Watchman左心耳封堵器进行左心耳封堵的临床资料，总结分析其基线资料，左心耳测量数据（心脏超声及造影）以及介入操作结果。?结果：12例行左心耳封堵术治疗患者全部成功（成功率100%），其中男性6例、女性6例，年龄51～81 (66.4±14.5)岁，房颤病史0.5～7（2.78±4.12）年。12例患者CHA2DS2-VASc评分为2～6（4.1±1.9）分。术中TEE测量左心耳开口最大直径为（19.7±2.2）mm；左心耳造影图像测得左心耳开口最大直径为（20.1±2.3）mm；两种方法测量的左心耳开口直径无显著差异（Ｐ＞0.05）。所用12枚Watchman封堵器直径（25.0±3.2）mm；植入左心耳内后TEE测量封堵器最大直径（20.3±5.8）mm，压缩率为（22.1±3.9）%。6例患者封堵后有少量残余分流，无手术相关并发症。结论：应用Watchman左心耳封堵器进行左心耳封堵是安全、有效的，但需严格把握适应证，遵循严格的操作规范。 关键词：心房颤动；左心耳封堵；Watchman Clinical application of left atrial appendage occlusion with Watchman occluder Yao Qing1, Song Zhi-yuan1,※, Shu Mao-qin1, Guo Yan-li2, Zhong Li1, Wang Wen-ting2, Shen Bin2, Li Hua-kang1, Cai Hong1, Zhu Ping1, Liu Feng1, Chen Xia1 1: Department of Cardiology，Southwest Hospital, Third Military Medical University, Interventional Cardiology Institute of Chongqing, Chongqing 400038, China 2: Department of Diagnostic Ultrasound, Southwest Hospital, Third Military Medical University, Chongqing 400038, China ※:Corresponding author Tel: 023O), email: zysong2010@126.com Abstract: Objective To investigate the effect and safety of left atrial appendage (LAA) occlusion with Watchman occluder treated in nonvalvular fibrillation atrial patients. Methods The clinical datas of LAA occlusion with Watchman occluder we previously performed were collected. Then the baseline informations, measured datas of LAA from ultrasound and visualization, and the results of interventional procedures were analyzed. Results 12patients were included in this study, 6 males and 6 females, average year was 66.4±14.5 ( 51～81)years old, and average year of AF was 2.78±4.12 (0.5～7)years. The average CHA2DS2-VASc score for all patients was 4.1±1.9 (2-6). The maximum LAA ostium was 19.7±2.2mm measured by TEE, a