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患者男性,75岁,因持续性心房颤动、卒中高危,但不愿接受长期华法林抗凝治疗而选择经皮左心耳封堵术。术中经股静脉途径将心内三维超声导管置入右房,指导房间隔穿刺后送入鞘管至左房,对左心耳造影及超声测量后于左心耳口部植入型号为LAA-2430封堵器,再次心内超声和左心耳造影检查证实左心耳完全堵塞,围术期无并发症发生。
Male, 75 years old, with percutaneous left atrial appendage closure due to persistent atrial fibrillation and high risk of stroke but unwilling to undergo long-term warfarin anticoagulation. Intraoperative intravenous intra-ventricle three-dimensional ultrasound catheter into the right atrium to guide the atrial septal puncture and then into the sheath to the left atrium, left atrial appendage angiography and ultrasound measurements in the left atrial appendage implanted model LAA-2430 Occluder, again intracardiac and left atrial appendage angiography confirmed the complete obstruction of the left atrial appendage, no complications during perioperative period.