非瓣膜性心房颤动患者行左心耳封堵术的初步结果

The Preliminary Results of Left Atrial Appendage Occlusion in Patients With Non-valvular Atrial Fibrillation

目的:探讨非瓣膜性心房颤动患者行左心耳封堵术的可行性及围术期、术后近期的安全性。方法:对17例非瓣膜性心房颤动患者入院当天及术后随访时常规行经食管超声心动图(TEE)检查;并于入院后进行CAHDS_2评分测定,对符合入选标准的患者进行左心耳封堵手术治疗。观察患者围术期及术后随访时封堵效果及并发症发生情况。结果:17例患者均成功完成手术,无严重并发症发生。术后8例TEE提示存在少量残余分流,围术期有2例术后存在穿刺点瘀斑,3例新发少量心包积液。平均随访45天时仅3例患者存在少量残余分流,未见左心房血栓形成及心包积液。结论:非瓣膜性心房颤动患者行左心耳封堵术成功率高,围术期及近期随访安全性良好。

Objective： To explore the feasibility with the safety at peri-operative and early post-operative periods for left atrial appendage occlusion in patients with non-valvular atrial fibrillation （AF）. Methods： A total of 17 non-valvular AF patients with transesophageal echocardiography （TEE） and CAHDS2 evaluation who received left atrial appendage occlusion in our hospital were summarized. The effect and complications during peri- operative and 1 month post-operative periods were analyzed. Results： All 17 patients had successful operation without severe complications. There were 8 patients having small amount residual shunt by TEE examination, 2 having ecchymosis near the puncture point at peri-operative period and 3 having small amount of hydropericardium by peri-cardio ultrasound examination. At the average of 45 days follow-up study, only 3 patients had small amount residual shunt, no left atrium thrombus and hydropericardium were observed. Conclusion： Left atrial appendage occlusion has the high success rate, it is safe during peri-operative and early post- operative periods in non-valvular AF patients.