卵圆孔未闭闭合术

A. S. Mangkuanom, D. Firman
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引用次数: 0

摘要

卵圆孔未闭与隐源性卒中密切相关。各种临床试验表明隐源性卒中与未手术的卵圆孔未闭发生率之间存在关联,这些试验也表明治疗卵圆孔未闭病变可降低隐源性卒中的发生率。在没有绝对禁忌症的情况下,建议卵圆孔未闭患者行闭锁术。术前检查如经食管超声心动图和抗凝剂预处理是预防术中和术后不良事件的必要条件。目前,卵圆孔未闭闭合可以通过经皮通路进行,风险最小。治疗卵圆孔未闭有助于降低未来中风的发生率
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Patent Foramen Ovale Closure Procedure
Patent foramen ovale is strongly associated with cryptogenic stroke. Variousclinical trials has shown the association between cryptogenic stroke andincidence of undelrying patent foramen ovale, these trials also shown thedecrease of cryptogenic stroke incidence with the treatment of patentforamen ovale Lesion. In the absence of absolute contraindications, patientswith patent foramen ovale are advised to undergo closure. Preproceduralexaminations such as trans esophageal echocardiography and pretreatmentwith anticoagulants are required to prevent peri and postprocedural adverseevents. Currently, patent foramen ovale Closure can be done through apercutaneous access with minimal risk. Treatment of patent foramen ovalecan help decrease future incidences of strokes
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8 weeks
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