左心房阑尾闭合术后高位梗阻性器械相关血栓形成引发的缺血性中风

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Arrhythmia Pub Date : 2024-04-22 DOI:10.1002/joa3.13042

Ryuki Chatani MD, Shunsuke Kubo MD, Hiroshi Tasaka MD, Takeshi Maruo MD, Kazushige Kadota MD

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引用次数: 0

摘要

我们曾见过停用口服抗凝药（OACs）后，左心房阑尾闭合术（LAAC）后发生与高级别装置相关的梗阻性血栓形成的缺血性中风。对于血栓栓塞高危患者来说，继续使用 OAC（包括 LAAC 后的半量直接口服抗凝药）可能是预防进一步血栓栓塞事件的更好选择。

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Ischemic stroke associated with high-grade pedunculated device-related thrombosis following left atrial appendage closure

We have seen ischemic stroke associated with a high-grade device-related pedunculated thrombosis after left atrial appendage closure (LAAC) after discontinuation of oral anticoagulations (OACs). Continuation of OACs, including half-dose direct oral anticoagulations after LAAC, may be a better option for patients at high risk of thromboembolism to prevent further thromboembolic events.

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