Watchman装置植入后的急性装置相关血栓

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2019-09-03 DOI:10.1155/2019/8397561

M. Ajmal, V. Swarup

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引用次数: 2

摘要

心房颤动的特点是心律不规则，发病率和死亡率增加。它与左心房血栓形成导致血栓栓塞风险增加有关。这些血栓大多形成于左心耳。使用抗凝血剂可以降低血栓形成的风险。由于出血风险增加而不能服用抗凝剂的患者可以接受经皮左心耳（LAA）封堵术。Watchman设备用于此目的。Watchman装置封堵左心耳会产生一些不良反应，其中之一是与装置相关的血栓。目前，还没有关于器械相关血栓管理的具体指南。我们报告了一例Watchman装置相关血栓，该血栓在装置放置16小时后出现。我们还将讨论急性血栓形成的各种治疗方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acute Device-Related Thrombus after Watchman Device Implant

Atrial fibrillation is characterized by irregularly irregular heart rhythm with an increased morbidity and mortality. It is associated with an increased risk of thromboembolism due to formation of blood clot in the left atrium. Most of these blood clots are formed in the left atrial appendage. The risk of blood clot formation is reduced with the use of anticoagulants. The patients who cannot take anticoagulants due to an increased bleeding risk can undergo percutaneous left atrial appendage (LAA) closure. A Watchman device is used for this purpose. LAA closure with the Watchman device is associated with some adverse effects, and one of them is device-related thrombus. Currently, there are no specific guidelines for the management of device-related thrombus. We present a case of Watchman device-related thrombus which developed 16 hours after the device placement. We will also discuss various options for the management of acute thrombosis.

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来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.