The Strengths and Weaknesses of Left Atrial Appendage Ligation or Exclusion (LARIAT, AtriaClip, Surgical Suture).
The Strengths and Weaknesses of Left Atrial Appendage Ligation or Exclusion (LARIAT, AtriaClip, Surgical Suture).
复制标题
DOI：
10.1016/j.iccl.2022.01.001
复制
发表时间：
2022-04-01
影响因子：
--
通讯作者：
Hanke, Thorsten
中科院分区：
文献类型：
--
作者：
Lee, Randall J;Hanke, Thorsten
左心耳(LAA)心外膜隔绝术与解决LAA引起的两种潜在有害后果有关，即血栓形成和晚期房颤的致心律失常因素。有60多年的历史，外科手术排除LAA已经牢固确立。许多方法被用于外科LAA的排除，包括手术切除、缝合结扎、切割和非切割吻合器以及手术夹子。此外，还开发了一种经皮心外膜LAA结扎术。将讨论各种心外膜LAA隔绝术的方法及其有效性，以及对LAA血栓形成、LAA电隔离和神经内分泌平衡的显著有益影响。
Left atrial appendage (LAA) epicardial exclusion has been associated with addressing 2 potential deleterious consequences attributed to the LAA, namely, thrombus formation and an arrhythmogenic contributor in advanced forms of atrial fibrillation. With more than 60 years of history, the surgical exclusion of the LAA has been firmly established. Numerous approaches have been used for surgical LAA exclusion including surgical resections, suture ligation, cutting and non-cutting staples, and surgical clips. Additionally, a percutaneous epicardial LAA ligation approach has been developed. A discussion of the various epicardial LAA exclusion approaches and their efficacy will be discussed, along with the salient beneficial affects on LAA thrombus formation, LAA electrical isolation and neuroendocrine homeostasis.