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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.
Jazyk angličtina Země Spojené státy americké
NLK
CINAHL Plus with Full Text (EBSCOhost)
od 2003-01-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 2003-01-01 do Před 1 rokem
Wiley Online Library (archiv)
od 1997-01-01 do 2012-12-31
- MeSH
- balónková okluze přístrojové vybavení MeSH
- barevná dopplerovská echokardiografie MeSH
- echokardiografie transezofageální MeSH
- fibrilace síní terapie MeSH
- fluoroskopie MeSH
- kontrastní látky MeSH
- lidé středního věku MeSH
- lidé MeSH
- následné studie MeSH
- peroperační doba MeSH
- pooperační období MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- síňové ouško ultrasonografie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví 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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