CBS 2019
CBSMD教育中心
中 文

经皮左心耳封堵

Abstract

Recommended Article

Left atrial appendage occlusion in atrial fibrillation patients with previous intracranial bleeding: A national multicenter study EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion – an update Atrial Fibrillation: JACC Council Perspectives Initial Worldwide Experience With the WATCHMAN Left Atrial Appendage System for Stroke Prevention in Atrial Fibrillation An artificial intelligence-enabled ECG algorithm for the identification of patients with atrial fibrillation during sinus rhythm: a retrospective analysis of outcome prediction Percutaneous Left Atrial Appendage Transcatheter Occlusion (PLAATO System) to Prevent Stroke in High-Risk Patients With Non-Rheumatic Atrial Fibrillation: Results From the International Multi-Center Feasibility Trials Percutaneous left atrial appendage occlusion: the Munich consensus document on definitions, endpoints, and data collection requirements for clinical studies Percutaneous Closure of the Left Atrial Appendage Versus Warfarin Therapy for Prevention of Stroke in Patients With Atrial Fibrillation: A Randomised Non-Inferiority Trial
|<< 1 2 3 4 5 >>|

Clinical Case Study

JOURNAL：CBSMD Article Link

Clinical Case : Significant LM Diameter Mismatch Treated with IVUS-guidance

Bill Gogas, Fei Ye (syndicatedfeeds)

Pre-reading

Procedure

LTRA 6F JL4 GC w/ Seldinger technique.


Buddy wire technique to cross angulated ostium of LAD w/ Runthrough NS.


Following distal placement of BMW wire, Runtrhough NS was retrieved.


Sequential balloon dilatations w/ 2,5 NC Sprinter Legend from distal to proximal with increasing atmospheres from 10 to 18 was performed. IVUS indicated distal LAD w/ RVD of at least 2,5 mm and proximal LAD media to media diameter of 3,5 mm suggested by IVUS (BS, US) which equals (3,5 mm - 0,25 mm) to vessel diameter of 3,25 mm.


Distal LM PB: 45-50% while proximal LM: >55%.


Distal LAD was treated w/ a 2,5 x 35 DES and mid- to prox-LAD up to distal LM with 3.0 x 28 mm DES*.

*DES of 3.0 or 3.5 mm can be post-dilated up to 4.25 mm



Proximal LAD was post-dilated with 3.0 NC Sprinter balloon to reach expansion of 3,5 mm and LM was post-dilated with 4.0 NC balloon to reach diameter of 4.5 mm.


IVUS confirmed MSAs: LM > 11mm2 & LAD > 7 mm2.


Good angiographic result confirmed by IVUS optimal geometric indices post-stent deployments.



Case Presenter Bill Gogas, Interventional Cardiologist, Visiting Professor of Medicine (Cardiology) at Nanjing First Hospital, China

Case Performed in The Spencer B. King III Catheterization Laboratory

Mentors Spencer B. King III, Shao-liang Chen


>CBS CBS 2019

> CBS 2019 REGISTRATION

> CBS 2019 PROGRAM

> CBS 2019 CALL FOR SCIENCE

> CBS 2019 SPOTLIGHTS

 CBSMD

> CBSMD WEBSITE REGISTRATION

> EDUCATION CENTER

> RECOMMANDED PAPER

> TOP 10 RESEARCH PAPER

> PRE-READING

CBS 2019 CBS 2019 FACULTY Education Resource CBSMD Scientific Library
Copyright ⓒ CBS MD Nanjing China. All rights reserved. 京ICP备16025898号-11
联系我们| Top