Surgical strategies of left atrial appendage for stroke prevention in patients with atrial fibrillation
- VernacularTitle:心房颤动患者左心耳外科处理方式预防卒中效果的研究进展
- Author:
Qiyue XU
1
,
2
;
Yiren SUN
2
;
Abdel Mahamoud OUMAR
2
;
Jie CAI
2
;
Yongjun2 QIAN
2
Author Information
1. First School of Clinical Medicine, Mudanjiang Medical University, Mudanjiang, 157011, Heilongjiang, P. R. China
2. Department of Cardiovascular Surgery, West China Hospital, Med-X Center for Materials, Sichuan University, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
left atrial appendage;
stroke prevention;
left atrial appendage clamp;
surgical strategies;
left atrial appendage resection;
left atrial appendage ligation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(06):972-976
- CountryChina
- Language:Chinese
-
Abstract:
Atrial fibrillation is one of the most common arrhythmias and significantly increases the risk of stroke, and the left atrial appendage is the main source of thrombus. Therefore, the management of the left atrial appendage in the surgical treatment of atrial fibrillation can effectively prevent stroke. However, there are various strategies to manage the left atrial appendage, each with advantages and disadvantages, and their effects of stroke prevention are not the same. Therefore, we evaluated the three most common surgical strategies, including left atrial appendage resection, left atrial appendage ligation and left atrial appendage clamp. We discussed the effect of these strategies on stroke prevention based on multiple dimensions such as surgical difficulty, surgical cost and postoperative stroke incidence, thus trying to provide some guidance for the selection of left atrial appendage treatment in patients with atrial fibrillation.
