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Role of echocardiography in percutaneous occlusion of the left atrial appendage
Mráz T., Neuzil P., Mandysová E., Niederle P., Reddy V.Y.
Language English Country United States
NLK
CINAHL Plus with Full Text (EBSCOhost)
from 2003-01-01 to 1 year ago
Medline Complete (EBSCOhost)
from 2003-01-01 to 1 year ago
Wiley Online Library (archiv)
from 1997-01-01 to 2012-12-31
- MeSH
- Balloon Occlusion instrumentation MeSH
- Echocardiography, Doppler, Color MeSH
- Echocardiography, Transesophageal MeSH
- Atrial Fibrillation therapy MeSH
- Fluoroscopy MeSH
- Contrast Media MeSH
- Middle Aged MeSH
- Humans MeSH
- Follow-Up Studies MeSH
- Intraoperative Period MeSH
- Postoperative Period MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Atrial Appendage ultrasonography MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
Percutaneous occlusion of the left atrial appendage (LAA) is a modern alternative for the treatment of patients with atrial fibrillation (AF) and with a high risk of stroke who are not eligible for long-term anticoagulation therapy. Echocardiography plays a significant role in selecting patients, guiding the procedure, and in the post-procedural follow-up. OBJECTIVES AND METHODS: To test the role of transesophageal echocardiography (TEE) and intracardiac echocardiography (ICE) in facilitating and shortening the procedure. RESULTS: ICE represents a more convenient approach in patients who are not under generally anesthesia and helps to facilitate transseptal puncture. On the other hand, TEE, having the ability to rotate the image plane, helps to better determine the position of the occluder. CONCLUSIONS: Echocardiographic guidance of this procedure is essential. Which approach will be preferred will depend on the development of these two methods.
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- $a Department of Cardiology, Hospital Na Homolce, Prague, Czech Republic. mrazt@seznam.cz
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- $a Percutaneous occlusion of the left atrial appendage (LAA) is a modern alternative for the treatment of patients with atrial fibrillation (AF) and with a high risk of stroke who are not eligible for long-term anticoagulation therapy. Echocardiography plays a significant role in selecting patients, guiding the procedure, and in the post-procedural follow-up. OBJECTIVES AND METHODS: To test the role of transesophageal echocardiography (TEE) and intracardiac echocardiography (ICE) in facilitating and shortening the procedure. RESULTS: ICE represents a more convenient approach in patients who are not under generally anesthesia and helps to facilitate transseptal puncture. On the other hand, TEE, having the ability to rotate the image plane, helps to better determine the position of the occluder. CONCLUSIONS: Echocardiographic guidance of this procedure is essential. Which approach will be preferred will depend on the development of these two methods.
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- $a ženské pohlaví $7 D005260
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