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Amplatzer Cardiac Plug(ACP,圣犹达公司)是第一款封堵左心耳近端的封堵器,目前在国内较少应用。本中心应用ACP封堵器成功行一例左心耳封堵。患者,68岁,持续性心房颤动患者,CHA2DS2-VASc评分为5分,为卒中高危患者。拒绝长期使用口服抗凝药,遂考虑行左心耳封堵术。测定左心耳开口直径最大25mm,锚定区21mm。选择26mm封堵器,植入左心耳后,测定固定盘压缩比13.5%,牵拉试验示固定良好,装置周围无残余漏,提示封堵成功。术后患者恢复好,第三天出院。ACP封堵器的应用为左心耳封堵术的开展提供了新的选择。
The Amplatzer Cardiac Plug (ACP, St. Jude) is the first occluder to occlude the left atrial appendage and is currently less commonly used in the country. The center of the successful application of ACP occluder line a left atrial appendage occlusion. Patients, 68 years of age, patients with persistent atrial fibrillation, CHA2DS2-VASc score of 5 points for high-risk stroke patients. Refused to use long-term oral anticoagulation, then consider the left atrial appendage occlusion. Determination of the left atrial appendage diameter of the largest 25mm, 21mm anchor area. Select 26mm occluder, implanted in the left atrial appendage, the determination of fixed plate compression ratio of 13.5%, pull test showed a good fix, no residual leakage around the device, suggesting that the successful closure. Postoperative patients recovered well, discharged on the third day. The application of ACP occluder provides a new option for the development of left atrial appendage occlusion.