Pneumatic Burst Pressures After Inverted Closure of the Left Atrial Appendage: An Ex Vivo Model.
作者： Nikolas Mirow , Sebastian Vogt , Rainer Moosdorf , Andreas Kirschbaum
DOI: 10.1016/J.ATHORACSUR.2016.10.042
关键词:
摘要: Background The left atrial (LA) appendage (LAA) is the main source of thromboembolism in fibrillation. This study addressed initial pressure resistance surgical LAA closures. Methods In an experimental model, pneumatic resistances different closure techniques were examined, and variations technique access studied. preparations LA from freshly slaughtered pigs, was applied to LAA. Burst pressures (mbar) various (n = 12 specimens per group) measured: (1) epicardial double-layer suture, (2) stapler (staple height 2 mm), (3) 4, 4.5, 5 (4) endocardial inverse (5) seam (6) mm). Results mean burst group 1 175.5 ± 19.35 mbar. There no significant difference compared with (174.5 28.45 mbar) or 3 (176 27.69 mbar). Group 4 scored significantly higher than all other groups (198.9 18.35 (136.2 16.68 lower 6 (165.1 21.94 mbar), but differences between also significant. Conclusions ex vivo suturing inverted internal led both stapled
annalsthoracicsurgery.org
sci-hub.se 参考文章(40)
R Landymore, C E Kinley, Staple closure of the left atrial appendage. Canadian Journal of Surgery. ,vol. 27, pp. 144- 145 ,(1984)
Ralph J. Damiano, What Is the Best Way to Surgically Eliminate the Left Atrial Appendage?⁎⁎Editorials published in the Journal of the American College of Cardiology reflect the views of the authors and do not necessarily represent the views of JACC or the American College of Cardiology. Journal of the American College of Cardiology. ,vol. 52, pp. 930- 931 ,(2008) , 10.1016/J.JACC.2008.06.007
Juan F. Viles-Gonzalez, Saibal Kar, Pamela Douglas, Srinivas Dukkipati, Ted Feldman, Rodney Horton, David Holmes, Vivek Y. Reddy, The Clinical Impact of Incomplete Left Atrial Appendage Closure With the Watchman Device in Patients With Atrial Fibrillation Journal of the American College of Cardiology. ,vol. 59, pp. 923- 929 ,(2012) , 10.1016/J.JACC.2011.11.028
David R. Holmes, Shephal K. Doshi, Saibal Kar, Matthew J. Price, Jose M. Sanchez, Horst Sievert, Miguel Valderrabano, Vivek Y. Reddy, Left Atrial Appendage Closure as an Alternative to Warfarin for Stroke Prevention in Atrial Fibrillation Journal of the American College of Cardiology. ,vol. 65, pp. 2614- 2623 ,(2015) , 10.1016/J.JACC.2015.04.025
Anne S. Kanderian, A. Marc Gillinov, Gosta B. Pettersson, Eugene Blackstone, Allan L. Klein, Success of Surgical Left Atrial Appendage Closure: Assessment by Transesophageal Echocardiography Journal of the American College of Cardiology. ,vol. 52, pp. 924- 929 ,(2008) , 10.1016/J.JACC.2008.03.067
Jorge Romero, Andrea Natale, Krysthel Engstrom, Luigi Di Biase, Left atrial appendage isolation using percutaneous (endocardial/epicardial) devices: Pre-clinical and clinical experience. Trends in Cardiovascular Medicine. ,vol. 26, pp. 182- 199 ,(2016) , 10.1016/J.TCM.2015.05.009
Gijs E. De Maat, Stefano Benussi, Yoran M. Hummel, Sebastien Krul, Alberto Pozzoli, Antoine H. G. Driessen, Massimo A. Mariani, Isabelle C. Van Gelder, Wim-Jan Van Boven, Joris R. de Groot, Surgical Left Atrial Appendage Exclusion Does Not Impair Left Atrial Contraction Function: A Pilot Study BioMed Research International. ,vol. 2015, pp. 318901- 318901 ,(2015) , 10.1155/2015/318901
Frederick A. Masoudi, Hugh Calkins, Clifford J. Kavinsky, David J. Slotwiner, Zoltan G. Turi, Joseph P. Drozda, Phillip Gainsley, 2015 ACC/HRS/SCAI Left Atrial Appendage Occlusion Device Societal Overview: A professional societal overview from the American College of Cardiology, Heart Rhythm Society, and Society for Cardiovascular Angiography and Interventions. Catheterization and Cardiovascular Interventions. ,vol. 86, pp. 791- 807 ,(2015) , 10.1002/CCD.26170
Riccardo Proietti, Jacqueline Joza, Andrea Arensi, Michael Levi, Vincenzo Russo, Apostolos Tzikas, Paolo Danna, Antonio Sagone, Maurizio Viecca, Vidal Essebag, None, Novel nonpharmacologic approaches for stroke prevention in atrial fibrillation: results from clinical trials. Medical Devices : Evidence and Research. ,vol. 8, pp. 103- 114 ,(2015) , 10.2147/MDER.S70672
Kentaro Yoshida, Magnus Ulfarsson, Hakan Oral, Thomas Crawford, Eric Good, Krit Jongnarangsin, Frank Bogun, Frank Pelosi, Jose Jalife, Fred Morady, Aman Chugh, Left atrial pressure and dominant frequency of atrial fibrillation in humans Heart Rhythm. ,vol. 8, pp. 181- 187 ,(2011) , 10.1016/J.HRTHM.2010.10.030