心内超声心动图指导左心耳闭塞：最新进展。

IF 1.9 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Reviews in cardiovascular medicine Pub Date : 2025-04-07 eCollection Date: 2025-04-01 DOI:10.31083/RCM28189

Milos Brankovic, Adamantios Tsangaris, Luka Petrovic, Abhishek Sharma

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引用次数: 0

摘要

对于不能耐受抗凝治疗的非瓣膜性心房颤动患者，左心耳闭塞术（LAAO）是预防卒中的重要干预措施。准确的成像对于指导和确保最佳的设备部署至关重要。经食管超声心动图（TEE）传统上是手术指导的金标准，但心内超声心动图（ICE）由于其独特的优势正在成为一种替代方案。本综述探讨了ICE和TEE在LAAO闭合中的比较有效性、程序优势、局限性和临床结果，强调了新趋势和对未来临床实践的影响。

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Intracardiac Echocardiography to Guide Left Atrial Appendage Occlusion: An Update.

The left atrial appendage occlusion (LAAO) procedure is an important intervention for stroke prevention in patients with non-valvular atrial fibrillation who cannot tolerate anticoagulation. Accurate imaging is essential to guide and ensure optimal device deployment. Transesophageal echocardiography (TEE) has traditionally been the gold standard for procedural guidance, but intracardiac echocardiography (ICE) is emerging as an alternative owing to its unique advantages. This review examines the comparative effectiveness, procedural advantages, limitations, and clinical outcomes of ICE and TEE in LAAO closure, highlighting emerging trends and implications for future clinical practice.

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来源期刊

Reviews in cardiovascular medicine 医学-心血管系统

CiteScore

2.70

自引率

3.70%

发文量

377

审稿时长

1 months

期刊介绍： RCM is an international, peer-reviewed, open access journal. RCM publishes research articles, review papers and short communications on cardiovascular medicine as well as research on cardiovascular disease. We aim to provide a forum for publishing papers which explore the pathogenesis and promote the progression of cardiac and vascular diseases. We also seek to establish an interdisciplinary platform, focusing on translational issues, to facilitate the advancement of research, clinical treatment and diagnostic procedures. Heart surgery, cardiovascular imaging, risk factors and various clinical cardiac & vascular research will be considered.