Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography

Aims. To investigate a new method of left atrial appendage occlusion without fluoroscopy. Methods and Results. We performed left atrial appendage occlusion for 14 patients with atrial fibrillation in our hospital. All of the surgeries were completed in a general surgery setting, avoiding fluoroscopy...

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Main Authors: Jinlong Zhao, Feng Li, Yueli Zhang, Zhongyun Zhuang, Man Wang, Liang Fu, Yinkai Ni, Zhexin Lu, Zonghui Chen, Cheng Zhang
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2019/1376515
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author Jinlong Zhao
Feng Li
Yueli Zhang
Zhongyun Zhuang
Man Wang
Liang Fu
Yinkai Ni
Zhexin Lu
Zonghui Chen
Cheng Zhang
author_facet Jinlong Zhao
Feng Li
Yueli Zhang
Zhongyun Zhuang
Man Wang
Liang Fu
Yinkai Ni
Zhexin Lu
Zonghui Chen
Cheng Zhang
author_sort Jinlong Zhao
collection DOAJ
description Aims. To investigate a new method of left atrial appendage occlusion without fluoroscopy. Methods and Results. We performed left atrial appendage occlusion for 14 patients with atrial fibrillation in our hospital. All of the surgeries were completed in a general surgery setting, avoiding fluoroscopy, and in each case, the entire procedure was guided by transesophageal echocardiography (TEE). All of the surgeries were performed through the femoral vein pathway. All operations went smoothly with no serious complications. Postoperative TEE indicated that each device was in a good position, and there was no residual shunt around any of the devices. Conclusions. TEE-guided left atrial appendage occlusion is safe and reliable, simplifies the procedure, protects doctors and patients from radiation, and is gradually becoming the mainstream operation for left atrial appendage occlusion. This trial is registered with ChiCTR1800018387.
format Article
id doaj-art-01cbe710e5b84444ad611fd260003691
institution Kabale University
issn 2090-8016
2090-0597
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-01cbe710e5b84444ad611fd2600036912025-02-03T01:12:39ZengWileyCardiology Research and Practice2090-80162090-05972019-01-01201910.1155/2019/13765151376515Left Atrial Appendage Occlusion Guided Only by Transesophageal EchocardiographyJinlong Zhao0Feng Li1Yueli Zhang2Zhongyun Zhuang3Man Wang4Liang Fu5Yinkai Ni6Zhexin Lu7Zonghui Chen8Cheng Zhang9Department of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Ultrasound Medicine, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaShanghai Push Medical Device Technology Inc, Shanghai, ChinaDepartment of Ultrasound Medicine, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Cardiovascular Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaAims. To investigate a new method of left atrial appendage occlusion without fluoroscopy. Methods and Results. We performed left atrial appendage occlusion for 14 patients with atrial fibrillation in our hospital. All of the surgeries were completed in a general surgery setting, avoiding fluoroscopy, and in each case, the entire procedure was guided by transesophageal echocardiography (TEE). All of the surgeries were performed through the femoral vein pathway. All operations went smoothly with no serious complications. Postoperative TEE indicated that each device was in a good position, and there was no residual shunt around any of the devices. Conclusions. TEE-guided left atrial appendage occlusion is safe and reliable, simplifies the procedure, protects doctors and patients from radiation, and is gradually becoming the mainstream operation for left atrial appendage occlusion. This trial is registered with ChiCTR1800018387.http://dx.doi.org/10.1155/2019/1376515
spellingShingle Jinlong Zhao
Feng Li
Yueli Zhang
Zhongyun Zhuang
Man Wang
Liang Fu
Yinkai Ni
Zhexin Lu
Zonghui Chen
Cheng Zhang
Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography
Cardiology Research and Practice
title Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography
title_full Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography
title_fullStr Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography
title_full_unstemmed Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography
title_short Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography
title_sort left atrial appendage occlusion guided only by transesophageal echocardiography
url http://dx.doi.org/10.1155/2019/1376515
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