Circulation journal : official journal of the Japanese Circulation Society · 2023
Zero-Contrast Left Atrial Appendage Closure in Patients With Chronic Kidney Disease.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Fukushima Tadatomo, Fukunaga Masato, Isotani Akihiro, Nakamura Miho, Yamamoto Ko, Ishizu Kenichi, Morinaga Takashi, Shirai Shinichi, Ando Kenji
Аннотация
BACKGROUND: Left atrial appendage closure (LAAC) usually requires contrast medium during the procedure. However, patients with chronic kidney disease (CKD) are at high risk of developing contrast nephropathy. This study aimed to assess the safety and feasibility of zero-contrast LAAC in patients with CKD.
METHODS AND RESULTS: Zero-contrast LAAC was attempted in 15 patients with CKD Stages 3b-5 who were not on hemodialysis. All procedures were performed successfully, without any periprocedural complications. At the 45-day follow-up, no device-related complications or acute kidney disease were observed.
CONCLUSIONS: The strategy of zero-contrast LAAC in patients with CKD can be an acceptable option.
METHODS AND RESULTS: Zero-contrast LAAC was attempted in 15 patients with CKD Stages 3b-5 who were not on hemodialysis. All procedures were performed successfully, without any periprocedural complications. At the 45-day follow-up, no device-related complications or acute kidney disease were observed.
CONCLUSIONS: The strategy of zero-contrast LAAC in patients with CKD can be an acceptable option.