{"title":"经食管超声心动图在非器质性心脏病左心耳闭塞的指导和评价中的作用","authors":"Xiaoli Long, Xiaohu Guo, Jiwen Xie, Xiaoyong Fan, Dongxia Yang, Xiaoting Mao, Jing Xie","doi":"10.1111/anec.70098","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To assess the guiding role of transesophageal echocardiography (TEE) intraoperatively and its evaluative function postoperatively during left atrial appendage occlusion (LAAO) in patients with non-organic heart disease (NOHD).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>In this retrospective observational study, a total of 48 patients with NOHD who underwent LAAO in the Department of Cardiology at The First People's Hospital of Lanzhou City from April 2020 to September 2022 were recruited. TEE findings during and after the procedure, cardiac chamber size, and cardiac function parameters at different surgical stages, postoperative occlusion efficacy, and complications were recorded. The application value of TEE in LAAO for patients with NOHD was evaluated.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Comparative analysis TEE-measured the maximum diameter of the LAAO (22.37 ± 3.86 mm) was significantly smaller than X-ray angiographic measurement (23.45 ± 4.22 mm; <i>p <</i> 0.05). One month after radiofrequency ablation, TTE revealed a statistically significant reduction in left atrial diameter (<i>p <</i> 0.05). Four cases (8%) exhibited minor peri-device leak (< 3 mm), and no major complications occurred.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>TEE shows significant application value for monitoring anatomical changes, guiding device sizing, and detecting peri-device leaks during and after LAAO for patients with NOHD.</p>\n </section>\n </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 4","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.70098","citationCount":"0","resultStr":"{\"title\":\"Role of Transesophageal Echocardiography in Guiding and Evaluating Left Atrial Appendage Occlusion in Patients With Non-Organic Heart Disease\",\"authors\":\"Xiaoli Long, Xiaohu Guo, Jiwen Xie, Xiaoyong Fan, Dongxia Yang, Xiaoting Mao, Jing Xie\",\"doi\":\"10.1111/anec.70098\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To assess the guiding role of transesophageal echocardiography (TEE) intraoperatively and its evaluative function postoperatively during left atrial appendage occlusion (LAAO) in patients with non-organic heart disease (NOHD).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>In this retrospective observational study, a total of 48 patients with NOHD who underwent LAAO in the Department of Cardiology at The First People's Hospital of Lanzhou City from April 2020 to September 2022 were recruited. TEE findings during and after the procedure, cardiac chamber size, and cardiac function parameters at different surgical stages, postoperative occlusion efficacy, and complications were recorded. The application value of TEE in LAAO for patients with NOHD was evaluated.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Comparative analysis TEE-measured the maximum diameter of the LAAO (22.37 ± 3.86 mm) was significantly smaller than X-ray angiographic measurement (23.45 ± 4.22 mm; <i>p <</i> 0.05). One month after radiofrequency ablation, TTE revealed a statistically significant reduction in left atrial diameter (<i>p <</i> 0.05). Four cases (8%) exhibited minor peri-device leak (< 3 mm), and no major complications occurred.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>TEE shows significant application value for monitoring anatomical changes, guiding device sizing, and detecting peri-device leaks during and after LAAO for patients with NOHD.</p>\\n </section>\\n </div>\",\"PeriodicalId\":8074,\"journal\":{\"name\":\"Annals of Noninvasive Electrocardiology\",\"volume\":\"30 4\",\"pages\":\"\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-06-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.70098\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Noninvasive Electrocardiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/anec.70098\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Noninvasive Electrocardiology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/anec.70098","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Role of Transesophageal Echocardiography in Guiding and Evaluating Left Atrial Appendage Occlusion in Patients With Non-Organic Heart Disease
Objective
To assess the guiding role of transesophageal echocardiography (TEE) intraoperatively and its evaluative function postoperatively during left atrial appendage occlusion (LAAO) in patients with non-organic heart disease (NOHD).
Methods
In this retrospective observational study, a total of 48 patients with NOHD who underwent LAAO in the Department of Cardiology at The First People's Hospital of Lanzhou City from April 2020 to September 2022 were recruited. TEE findings during and after the procedure, cardiac chamber size, and cardiac function parameters at different surgical stages, postoperative occlusion efficacy, and complications were recorded. The application value of TEE in LAAO for patients with NOHD was evaluated.
Results
Comparative analysis TEE-measured the maximum diameter of the LAAO (22.37 ± 3.86 mm) was significantly smaller than X-ray angiographic measurement (23.45 ± 4.22 mm; p < 0.05). One month after radiofrequency ablation, TTE revealed a statistically significant reduction in left atrial diameter (p < 0.05). Four cases (8%) exhibited minor peri-device leak (< 3 mm), and no major complications occurred.
Conclusion
TEE shows significant application value for monitoring anatomical changes, guiding device sizing, and detecting peri-device leaks during and after LAAO for patients with NOHD.
期刊介绍：
The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients.
ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation.
ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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