https://scholars.lib.ntu.edu.tw/handle/123456789/629199
標題: | First-in-Human Experience of Using a Universal Steerable Sheath in Implanting Left Atrial Appendage Closure Devices | 作者: | SHENG-NAN CHANG Chiu, Fu-Chun JIEN-JIUN CHEN PANG-SHUO HUANG TING TSE LIN HSIAO-LIANG CHENG Tsai, Chin-Feng YI-CHIH WANG CHIA-TI TSAI |
關鍵字: | AF, atrial fibrillation; LAA, left atrial appendage; LAAC, left atrial appendage closure; deflectable sheath; left atrial appendage closure device; steerable sheath | 公開日期: | 十一月-2022 | 卷: | 2 | 期: | 6 | 起(迄)頁: | 780 | 來源出版物: | JACC. Asia | 摘要: | Left atrial appendage (LAA) closure (LAAC) device implantation may be challenging in cases with difficult LAA anatomy. A deflectable sheath to approach multiple LAA positions may be helpful. We used a deflectable sheath to implant LAAC devices in 20 patients and included 60 cases using the standard sheaths for comparison. The procedures were successful in all patients without peri-procedural complications. After a median follow-up of 1.52 (IQR: 0.76-2.33) years, none of the patients in the deflectable sheath group had peri-device leak ≥3 mm and experienced thromboembolic stroke. In the standard sheath group, after follow-up of 2.03 (IQR: 0.87-3.19) years, 2 had peri-device leak ≥3 mm and 1 experienced thromboembolic stroke. We first proved the idea of using a universal steerable sheath for LAAC device implantation in difficult LAA anatomy, which also allows rapid switching of different LAAC devices. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/629199 | ISSN: | 27723747 | DOI: | 10.1016/j.jacasi.2022.08.003 |
顯示於: | 醫學系 |
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