Author/Editor | Vokač, Damijan; Hren, Jožef; Naji, Franjo; Granda, Samo | |
Title | Zapiranje leve avrikule pri bolnikih z atrijsko fibrilacijo | |
Translated title | Left atrial appendix closure in atrial fibrillation patients | |
Type | članek | |
Source | 74267393 | |
Publication year | 2013 | |
Volume | str. 41-45 | |
Language | slv | |
Abstract | Atrijska fibrilacija (AF) je najpogostejša motnja ritma, ki bo v prihodnosti močno prizadela starajočo se populacijo. Čeprav je lahko simptomatika bolezni relativno benigna, pa so njeni trombembolični zapleti lahko katastrofalni. Glede na to so se v zadnjih letih uveljavile smernice, ki na široko uvajajo antikoagulatno zdravljenje pri teh bolnikih. Žal pa takšen pristop ni brez posledic, saj se s tem poveča tveganje za krvavitve, ki je močno povezano s preostalimi bolnikovimi boleznimi. Zapiranje avrikule levega atrija, ki predstavlja glavni vir nastajanja strdkov pri bolnikih z AF, se zato ponuja kot privlačna opcija, ki bolnika reši tako tveganja za trombemolične zaplete kot tveganja za krvavitev po uvedenem antikoagulantnem zdravljenju. V prispevku opisujemo metodo vstavitve omenjenega zapirala, naše izkušnje in pomisleke glede prihodnosti zdravljenja bolnikov z AF.Atrial fibrillation (AF) is the most common rhythm disorder. Eventhough the arrhythmia is, at least in its electrophysiological sense, relatively benign, its thromboembolic consequences could be catastrophic. In recent years guidelines for management of these complications were developed and widely utilized, however there is growing knowledge and experience that in certain patients odds of serious bleeding are relatively high. Since the left atrial appendage represents the main source of thrombi in AF patients, methods were introduced in order to close the appendage and alleviate patients from burden of anticoagulation treatment. In following article we describe possible methods of percutaneous closure of left atrial appendage, our experiences and future implications. | |
Keywords | atrijska fibrilacija avrikula levega prekata zapiralo antikoagulantno zdravljenje |