Научно-практический журнал
«Клиническая физиология кровообращения»

Главный редактор

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент ФГБУ «НМИЦ ССХ им. А.Н. Бакулева» МЗ РФ


Трехмерная чреспищеводная эхокардиография при имплантации окклюдера в ушко левого предсердия

Авторы: Джуртубаев Р.Н., Мироненко М.Ю., Юркулиева Г.А., Донаканян С.А.

Раздел: Клиническая физиология сердца

Библиографическая ссылка: Клиническая физиология кровообращения. 2024; 21 (3): 228-241

Цитировать как: Джуртубаев Р.Н., Мироненко М.Ю., Юркулиева Г.А., Донаканян С.А. . Трехмерная чреспищеводная эхокардиография при имплантации окклюдера в ушко левого предсердия. Клиническая физиология кровообращения. 2024; 21 (3): 228-241. DOI:

Скачать (Download)


Литература

  1. Sagris M., Vardas E.P., Theofilis P., Antonopoulos A.S., Oikonomou E., Tousoulis D. Atrial fibrillation: pathogenesis, predisposing factors, and genetics. Int. J. Mol. Sci. 2021; 23 (1): 6. DOI: 10.3390/ijms23010006
  2. Samim D., Choffat D., Vollenweider P., Waeber G, Marques-Vidal P., Méan M. Prevalence of atrial fibrillation: the Swiss population-based CoLaus|Psy-CoLaus study. Herz. 2023; 48 (1): 48–54. DOI: 10.1007/s00059-021-05090-7
  3. Wang B., Wang Z., He B., Fu G., Feng M., Liu J. et al. Percutaneous left atrial appendage closure confirmed by intra-procedural transesophageal echocardiography under local anesthesia: safety and clinical efficacy. Acta. Cardiol. Sin. 2021; 37 (2): 146–154. DOI: 10.6515/ ACS.202103_37(2).20200327A
  4. Laterra G., Dattilo G., Correale M., Brunetti N.D., Artale C., Sacchetta G. et al. Imaging modality to guide left atrial appendage closure: current status and future perspectives. J. Clin. Med. 2023; 12 (11): 3756. DOI: 10.3390/jcm12113756
  5. Биниашвили М.Б., Ле Т.Г., Бокерия Л.А. Хирургическое закрытие ушка левого предсердия: прошлое, настоящее, будущее. Анналы аритмологии. 2022; 19 (3): 178–189. DOI: 10.15275/annaritmol.2022.3.7
  6. Mahajan R., Brooks A.G., Sullivan T., Lim H.S., Alasady M., Abed H.S. et al. Importance of the underlying substrate in determining thrombus location in atrial fibrillation: implications for left atrial appendage closure. Heart. 2012; 98 (15): 1120–1126. DOI: 10.1136/heartjnl-2012-301799
  7. Blackshear J.L., Odell J.A. Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation. Ann. Thorac. Surg. 1996; 61 (2): 755–759. DOI: 10.1016/0003-4975(95)00887
  8. Певзнер Д.В., Рытова Ю.К., Меркулова И.А., Меркулов Е.В. Эффективность и безопасность различных режимов антитромботической терапии после имплантации окклюдера ушка левого предсердия. Кардиоваскулярная терапия и профилактика. 2022; 21 (8): 59–71. DOI: 10.15829/1728-8800-2022-3353
  9. Meier B., Blaauw Y., Khattab A.A., Lewalter T., Sievert H., Tondo C., Glikson M.; Document Reviewers. EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion. Europace. 2014; 16 (10): 1397–1416. DOI: 10.1093/europace/euu174
  10. Sievert H., Lesh M.D., Trepels T., Omran H., Bartorelli A., Della Bella P. et al. Percutaneous left atrial appendage transcatheter occlusion to prevent stroke in high-risk patients with atrial fibrillation: early clinical experience. Circulation. 2002; 105 (16): 1887–1889. DOI: 10.1161/01. cir.0000015698.54752.6d
  11. Camm A.J., Lip G.Y., De Caterina R., Savelieva I., Atar D., Hohnloser S.H. et al.; ESC Committee for Practice Guidelines (CPG). 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association. Eur. Heart. J. 2012; 33 (21): 2719–2747. DOI: 10.1093/eurheartj/ehs253
  12. Glikson M., Wolff R., Hindricks G., Mandrola J., Camm A.J., Lip G.Y. et al.; ESC Scientific Document Group. EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion – an update. Europace. 2020; 22 (2): 184. DOI: 10.1093/europace/ euz258
  13. Wunderlich N.C., Beigel R., Swaans M.J., Ho S.Y., Siegel R.J. Percutaneous interventions for left atrial appendage exclusion: options, assessment, and imaging using 2D and 3D echocardiography. JACC Cardiovasc. Imaging. 2015; 8 (4): 472–488. DOI: 10.1016/j.jcmg. 2015.02.002
  14. Galea R., Mahmoudi K., Gräni C., Elhadad S., Huber A.T., Heg D. et al. Watchman FLX vs. Watchman 2.5 in a Dual-Center Left Atrial Appendage Closure Cohort: the WATCH-DUAL study. Europace. 2022; 24 (9): 1441–1450. DOI: 10.1093/europace/euac021
  15. Reddy V.Y., Doshi S.K., Sievert H., Buchbinder M., Neuzil P., Huber K. et al.; PROTECT AF Investigators. Percutaneous left atrial appendage closure for stroke prophylaxis in patients with atrial fibrillation: 2.3-year follow-up of the PROTECT AF (watchman left atrial appendage system for embolic protection in patients with atrial fibrillation) trial. Circulation. 2013; 127 (6): 720–729. DOI: 10.1161/ CIRCULATIONAHA.112.114389
  16. Гучаев Р.В., Певзнер Д.В., Меркулов Е.В., Миронов В.М., Жукова Н.С., Коробкова И.З. Эндоваскулярные методы закрытия ушка левого предсердия у больных с неклапанной формой мерцательной аритмии для профилактики инсульта. Вестник рентгенологии и радиологии. 2018; 99 (2): 108–114. DOI: 10.20862/0042-4676-2018-99-2-108-114
  17. Abualsaud A., Freixa X., Tzikas A., Chan J., Garceau P., Basmadjian A., Ibrahim R. Side-by-side Comparison of LAA occlusion performance with the amplatzer cardiac plug and amplatzer amulet. J. Invasive Cardiol. 2016; 28 (1): 34–38.
  18. Lakkireddy D., Thaler D., Ellis C.R., Swarup V., Sondergaard L., Carroll J. et al. Amplatzer amulet left atrial appendage occluder versus watchman device for stroke prophylaxis (Amulet IDE): a randomized, controlled trial. Circulation. 2021; 144 (19): 1543–1552. DOI: 10.1161/CIRCULATIONAHA.121.057063
  19. Batko J., Jakiel R., Krawczyk-Ożóg A., Litwinowicz R., Hołda J., Bartuś S. et al. Definition and anatomical description of the left atrial appendage neck. Clin. Anat. 2024; 37 (2): 201–209. DOI: 10.1002/ca.24125
  20. Певзнер Д.В., Аветисян Э.А., Меркулова И.А., Шахматова О.О., Галаева Л.М., Веселова Т.Н. и др. Значение мультиспиральной компьютерной томографии сердца при эндоваскулярной изоляции ушка левого предсердия. Кардиология и сердечно-сосудистая хирургия. 2022; 15 (1): 46–51. DOI: 10.17116/kardio20221501146
  21. Streb W., Mitręga K., Podolecki T., Szymała M., Leopold-Jadczyk A., Kukulski T., Kalarus Z. Two-dimensional versus three-dimensional transesophageal echocardiography in percutaneous left atrial appendage occlusion. Cardiol. J. 2019; 26 (6): 687–695. DOI: 10.5603/CJ. a2018.0019
  22. Изосомова М.Г., Бокерия О.Л., Мироненко М.Ю., Сергуладзе С.Ю., Петросян К.В. Трехмерная чреспищеводная эхокардиография при эндоваскулярном закрытии ушка левого предсердия. Сердечно-сосудистые заболевания. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2019; 20
  23. Алехин М.Н., Гогин Г.Е., Тер-Акопян А.В., Абрамов А.С., Ликов В.Ф. Трехмерная чреспищеводная эхокардиография для оценки состояния ушка левого предсердия сердца перед чрескожной имплантацией окклюдера Watchman. Кремлевская медицина. Клинический вестник. 2014; (2): 122–125.
  24. Ono S., Maruo T., Kubo S., Kadota K. Validation study of new left atrial appendage closure device measurement by two-dimensional and three-dimensional transesophageal echocardiography. J. Echocardiogr. 2024; 22 (1): 16–24. DOI: 10.1007/s12574-023-00619-7
  25. Pommier T., Guenancia C., Richard C., Sagnard A., Fichot M., Salignon-Vernay C. et al. Safety and efficacy of left atrial appendage occlusion with the ACP or Watchman device guided by intracardiac echocardiography from the left atrium. Clin. Cardiol. 2021; 44 (10): 1402–1408. DOI: 10.1002/clc.23696
  26. Чугунов И.А., Давтян К.В., Брутян А.А., Базаева Е.В. Имплантация окклюдера в ушко левого предсердия у пациентки с противопоказаниями к выполнению чреспищеводной эхокардиографии: клиническое наблюдение. Вестник аритмологии. 2022; 29 (3): 44–47. DOI: 10.35336/VA-2022-3-06
  27. Grazina A., Fiarresga A., Ramos R., Viegas J., Cardoso I., Lacerda Teixeira B. et al. Intracardiac echocardiography-guided left atrial appendage occlusion: the path to independence. Rev. Port. Cardiol. 2023; 42 (10): 847–855 (in Engl., Portug.). DOI: 10.1016/j.repc. 2023.01.028
  28. Patel A., Venkataraman R., Schurmann P., Dave A., Valderrábano M. Left atrial appendage occlusion using intracardiac echocardiography. Heart Rhythm. 2021; 18 (2): 313–317. DOI: 10.1016/j.hrthm.2020.09.021
  29. Певзнер Д.В., Омаров Ю.А., Меркулова И.А., Явелов И.С., Комаров А.Л., Ганюков В.И. Тромбоз окклюдера после эндоваскулярной изоляции ушка левого предсердия у пациентов с фибрилляцией предсердий: проспективное наблюдение. Вестник аритмологии. 2023; 30 (2) (112): 51–58. DOI: 10.35336/VA-2023-2-07
  30. Панагов З.Г., Бокерия Л.А., Канаметов Т.Н., Аверина И.И., Фатулаев З.Ф., Мироненко М.Ю., Назранова М.Ю. Анатомо- функциональные особенности левого предсердия и ушка левого предсердия на фоне различной антикоагулянтной терапии. Сердечно-сосудистые заболевания. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2022; 23 (S3): 54.
  31. Канорский С.Г. Эндоваскулярная окклюзия ушка левого предсердия при фибрилляции предсердий: современные представления и перспективы (обзор). Сибирский журнал клинической и экспериментальной медицины. 2023; 38 (4): 46–54. DOI: 10.29001/2073- 8552-2023-38-4-46-54
  32. Banga S., Osman M., Sengupta P.P., Benjamin M.M., Shrestha S., Challa A. et al. CT assessment of the left atrial appendage post-transcatheter occlusion – a systematic review and meta analysis. J. Cardiovasc. Comput. Tomogr. 2021; 15 (4): 348–355. DOI: 10.1016/j.jcct.2020.12.003
  33. Li S., Dong J., Luo J., Wang G., Xie D., Zhou L. Comparison of different quantitative evaluation protocols for peri-device leak detection using cardiac computed tomography angiography after left atrial appendage closure. Int. J. Cardiovasc Imaging. 2023; 39 (3): 659–666. DOI: 10.1007/s10554-022-02748-z
  34. Afzal M.R., Gabriels J.K., Jackson G.G., Chen L., Buck B., Campbell S. et al. Temporal changes and clinical implications of delayed peridevice leak following left atrial appendage closure. JACC Clin. Electrophysiol. 2022; 8 (1): 15–25. DOI: 10.1016/j.jacep.2021.06.018
  35. Morais P., Fan Y., Queirós S., D’Hooge J., Lee A.P., Vilaça J.L. Feasibility and accuracy of automated three-dimensional echocardiographic analysis of left atrial appendage for transcatheter closure. J. Am. Soc. Echocardiogr. 2022; 35 (1): 124–133. DOI: 10.1016/j.echo. 2021.08.023
  36. ****
  37. Sagris M., Vardas E.P., Theofilis P., Antonopoulos A.S., Oikonomou E., Tousoulis D. Atrial fibrillation: pathogenesis, predisposing factors, and genetics. Int. J. Mol. Sci. 2021; 23 (1): 6. DOI: 10.3390/ijms23010006
  38. Samim D., Choffat D., Vollenweider P., Waeber G, Marques-Vidal P., Méan M. Prevalence of atrial fibrillation: the Swiss population-based CoLaus|Psy-CoLaus study. Herz. 2023; 48 (1): 48–54. DOI: 10.1007/s00059-021-05090-7
  39. Wang B., Wang Z., He B., Fu G., Feng M., Liu J. et al. Percutaneous left atrial appendage closure confirmed by intra-procedural transesophageal echocardiography under local anesthesia: safety and clinical efficacy. Acta. Cardiol. Sin. 2021; 37 (2): 146–154. DOI: 10.6515/ ACS.202103_37(2).20200327A
  40. Laterra G., Dattilo G., Correale M., Brunetti N.D., Artale C., Sacchetta G. et al. Imaging modality to guide left atrial appendage closure: current status and future perspectives. J. Clin. Med. 2023; 12 (11): 3756. DOI: 10.3390/jcm12113756
  41. Biniashvili M.B., Le T.G., Bockeria L.A. Surgical closure of the left atrium auricle: past, present, future. Annaly Aritmologii. 2022; 19 (3): 178–189 (in Russ.). DOI: 10.15275/annaritmol.2022.3.7
  42. Mahajan R., Brooks A.G., Sullivan T., Lim H.S., Alasady M., Abed H.S. et al. Importance of the underlying substrate in determining thrombus location in atrial fibrillation: implications for left atrial appendage closure. Heart. 2012; 98 (15): 1120–1126. DOI: 10.1136/heartjnl-2012-301799
  43. Blackshear J.L., Odell J.A. Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation. Ann. Thorac. Surg. 1996; 61 (2): 755–759. DOI: 10.1016/0003-4975(95)00887
  44. Pevzner D.V., Rytova Yu.K., Merkulova I.A., Merkulov E.V. Efficacy and safety of various antithrombotic therapy regimens after implantation of the occluder of the left atrium appendage. Cardiovascular Therapy and Prevention. 2022; 21 (8): 59–71 (in Russ.). DOI: 10.15829/1728-8800-2022-3353
  45. Meier B., Blaauw Y., Khattab A.A., Lewalter T., Sievert H., Tondo C., Glikson M.; Document Reviewers. EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion. Europace. 2014; 16 (10): 1397–1416. DOI: 10.1093/europace/euu174
  46. Sievert H., Lesh M.D., Trepels T., Omran H., Bartorelli A., Della Bella P. et al. Percutaneous left atrial appendage transcatheter occlusion to prevent stroke in high-risk patients with atrial fibrillation: early clinical experience. Circulation. 2002; 105 (16): 1887–1889. DOI: 10.1161/01. cir.0000015698.54752.6d
  47. Camm A.J., Lip G.Y., De Caterina R., Savelieva I., Atar D., Hohnloser S.H. et al.; ESC Committee for Practice Guidelines (CPG). 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association. Eur. Heart. J. 2012; 33 (21): 2719–2747. DOI: 10.1093/eurheartj/ehs253
  48. Glikson M., Wolff R., Hindricks G., Mandrola J., Camm A.J., Lip G.Y. et al.; ESC Scientific Document Group. EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion – an update. Europace. 2020; 22 (2): 184. DOI: 10.1093/europace/euz258
  49. Wunderlich N.C., Beigel R., Swaans M.J., Ho S.Y., Siegel R.J. Percutaneous interventions for left atrial appendage exclusion: options, assessment, and imaging using 2D and 3D echocardiography. JACC Cardiovasc. Imaging. 2015; 8 (4): 472–488. DOI: 10.1016/j.jcmg.2015.02.002
  50. Galea R., Mahmoudi K., Gräni C., Elhadad S., Huber A.T., Heg D. et al. Watchman FLX vs. Watchman 2.5 in a Dual-Center Left Atrial Appendage Closure Cohort: the WATCH-DUAL study. Europace. 2022; 24 (9): 1441–1450. DOI: 10.1093/europace/euac021
  51. Reddy V.Y., Doshi S.K., Sievert H., Buchbinder M., Neuzil P., Huber K. et al.; PROTECT AF Investigators. Percutaneous left atrial appendage closure for stroke prophylaxis in patients with atrial fibrillation: 2.3-year follow-up of the PROTECT AF (watchman left atrial appendage system for embolic protection in patients with atrial fibrillation) trial. Circulation. 2013; 127 (6): 720–729. DOI: 10.1161/CIRCULATIONAHA.112.114389
  52. Guchaev R.V., Pevzner D.V., Merkulov E.V., Mironov V.M., Zhukova N.S., Korobkova I.Z. Endovascular methods of closure of the left atrial appendage in patients with nonvalvular atrial fibrillation for stroke prevention. Journal of Radiology and Nuclear Medicine. 2018; 99 (2): 108–114 (in Russ.). DOI: 10.20862/0042-4676-2018-99-2-108-114
  53. Abualsaud A., Freixa X., Tzikas A., Chan J., Garceau P., Basmadjian A., Ibrahim R. Side-by-side Comparison of LAA occlusion performance with the amplatzer cardiac plug and amplatzer amulet. J . Invasive Cardiol. 2016; 28 (1): 34–38.
  54. Lakkireddy D., Thaler D., Ellis C.R., Swarup V., Sondergaard L., Carroll J. et al. Amplatzer amulet left atrial appendage occluder versus watchman device for stroke prophylaxis (Amulet IDE): a randomized, controlled trial. Circulation. 2021; 144 (19): 1543–1552. DOI: 10.1161/CIRCULATIONAHA.121.057063
  55. Batko J., Jakiel R., Krawczyk-Ożóg A., Litwinowicz R., Hołda J., Bartuś S. et al. Definition and anatomical description of the left atrial appendage neck. Clin. Anat. 2024; 37 (2): 201–209. DOI: 10.1002/ca.24125
  56. Pevzner D.V., Avetisyan E.A., Merkulova I.A., Shakhmatova O.O., Galaeva L.M., Veselova T.N. et al. The importance of multispiral computed tomography of the heart in endovascular isolation of the left atrium appendage. Russian Journal of Cardiology and Cardiovascular Surgery. 2022; 15 (1): 46–51 (in Russ.). DOI: 10.17116/kardio20221501146
  57. Streb W., Mitręga K., Podolecki T., Szymała M., Leopold-Jadczyk A., Kukulski T., Kalarus Z. Two-dimensional versus three-dimensional transesophageal echocardiography in percutaneous left atrial appendage occlusion. Cardiol. J. 2019; 26 (6): 687–695. DOI: 10.5603/CJ.a2018.0019
  58. Izosomova M.G., Bockeria O.L., Mironenko M.Yu., Serguladze S.Yu., Petrosyan K.V. Three-dimensional transesophageal echocardiography with endovascular closure of the left atrium appendage. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2019; 20
  59. Alekhin M.N., Gogin G.E., Ter-Akopyan A.V., Abramov A.S., Likov V.F. Three-dimentional transesophageal echocardiography for assessing the state of atrial auricle before transcutaneous implantation of «Watchman» occluder. Kremlin Medicine. Clinical Bulletin. 2014; (2): 122– 125 (in Russ.).
  60. Ono S., Maruo T., Kubo S., Kadota K. Validation study of new left atrial appendage closure device measurement by two-dimensional and three-dimensional transesophageal echocardiography. J. Echocardiogr. 2024; 22 (1): 16–24. DOI: 10.1007/s12574-023-00619-7
  61. Pommier T., Guenancia C., Richard C., Sagnard A., Fichot M., Salignon-Vernay C. et al. Safety and efficacy of left atrial appendage occlusion with the ACP or Watchman device guided by intracardiac echocardiography from the left atrium. Clin. Cardiol. 2021; 44 (10): 1402–1408. DOI: 10.1002/clc.23696
  62. Chugunov I.A., Davtyan K.V., Brutyan A.A., Bazaeva E.V. Left atrial appendage closure in a patient with contraindications for transesophageal echocardiography: a case report. Bulletin of Arrhythmology. 2022; 29 (3): 44–47 (in Russ.). DOI: 10.35336/VA-2022-3-06
  63. Grazina A., Fiarresga A., Ramos R., Viegas J., Cardoso I., Lacerda Teixeira B. et al. Intracardiac echocardiography-guided left atrial appendage occlusion: the path to independence. Rev. Port. Cardiol. 2023; 42 (10): 847–855 (in Engl., Portug.). DOI: 10.1016/j.repc. 2023.01.028
  64. Patel A., Venkataraman R., Schurmann P., Dave A., Valderrábano M. Left atrial appendage occlusion using intracardiac echocardiography. Heart Rhythm. 2021; 18 (2): 313–317. DOI: 10.1016/j.hrthm.2020.09.021
  65. Pevzner D.V., Omarov Y.A., Merkulova I.A., Yavelov I.S., Komarov A.L., Ganyukov V.I. Device-related thrombus after left atrial appendage occlusion in patients with atrial fibrillation: a prospective follow-up. Bulletin of Arrhythmology. 2023; 30 (2) (112): 51–58 (in Russ.). DOI: 10.35336/VA-2023-2-07
  66. Panagov Z.G., Bockeria L.A., Kanametov T.N., Averina I.I., Fatulaev Z.F., Mironenko M.Yu., Nazranova M.Yu. Anatomical and functional features of the left atrium and the appendage of the left atrium against the background of various anticoagulant therapy. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2022; 23 (S3): 54 (in Russ.).
  67. Kanorskiy S.G. Endovascular occlusion of the left atrial appendage in atrial fibrillation: modern concepts and prospects (review). Siberian Journal of Clinical and Experimental Medicine. 2023; 38 (4): 46–54 (in Russ.). DOI: 10.29001/2073-8552-2023-38-4-46-54
  68. Banga S., Osman M., Sengupta P.P., Benjamin M.M., Shrestha S., Challa A. et al. CT assessment of the left atrial appendage post-transcatheter occlusion – a systematic review and meta analysis. J. Cardiovasc. Comput. Tomogr. 2021; 15 (4): 348–355. DOI: 10.1016/j.jcct.2020.12.003
  69. Li S., Dong J., Luo J., Wang G., Xie D., Zhou L. Comparison of different quantitative evaluation protocols for peri-device leak detection using cardiac computed tomography angiography after left atrial appendage closure. Int. J. Cardiovasc Imaging. 2023; 39 (3): 659–666. DOI: 10.1007/s10554-022-02748-z
  70. Afzal M.R., Gabriels J.K., Jackson G.G., Chen L., Buck B., Campbell S. et al. Temporal changes and clinical implications of delayed peridevice leak following left atrial appendage closure. JACC Clin. Electrophysiol. 2022; 8 (1): 15–25. DOI: 10.1016/j.jacep.2021.06.018
  71. Morais P., Fan Y., Queirós S., D’Hooge J., Lee A.P., Vilaça J.L. Feasibility and accuracy of automated three-dimensional echocardiographic analysis of left atrial appendage for transcatheter closure. J. Am. Soc. Echocardiogr. 2022; 35 (1): 124–133. DOI: 10.1016/j.echo. 2021.08.023

 Если вы заметили опечатку, выделите текст и нажмите Alt+A