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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vestar</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник аритмологии</journal-title><trans-title-group xml:lang="en"><trans-title>Journal of Arrhythmology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-8641</issn><issn pub-type="epub">2658-7327</issn><publisher><publisher-name>НАО «Инкарт»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.35336/VA-2022-3-06</article-id><article-id custom-type="elpub" pub-id-type="custom">vestar-1131</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASE REPORTS</subject></subj-group></article-categories><title-group><article-title>Имплантация окклюдера в ушко левого предсердия у пациентки с противопоказаниями к выполнению чреспищеводной эхокардиографии: клиническое наблюдение</article-title><trans-title-group xml:lang="en"><trans-title>Left atrial appendage closure in a patient with contraindications for transesophageal echocardiography: a case report</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7077-9644</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чугунов</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Chugunov</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чугунов Иван Александрович</p><p>Москва, Петроверигский пер., д. 10</p></bio><bio xml:lang="en"><p>Ivan Chugunov</p><p>Moscow, 10 Petroverigskiy Lane</p></bio><email xlink:type="simple">vvizevvolf@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3788-3997</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Давтян</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Davtyan</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Петроверигский пер., д. 10</p></bio><bio xml:lang="en"><p>Moscow, 10 Petroverigskiy Lane</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4408-3592</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Брутян</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Brutyan</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Петроверигский пер., д. 10</p></bio><bio xml:lang="en"><p>Moscow, 10 Petroverigskiy Lane</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5405-5459</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Базаева</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bazaeva</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Петроверигский пер., д. 10</p></bio><bio xml:lang="en"><p>Moscow, 10 Petroverigskiy Lane</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Национальный медицинский исследовательский центр терапии и профилактической медицины<country>Россия</country></aff><aff xml:lang="en">National Medical Research Center for Therapy and Preventive Medicine<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>20</day><month>09</month><year>2022</year></pub-date><volume>29</volume><issue>3</issue><fpage>44</fpage><lpage>47</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Чугунов И.А., Давтян К.В., Брутян А.А., Базаева Е.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Чугунов И.А., Давтян К.В., Брутян А.А., Базаева Е.В.</copyright-holder><copyright-holder xml:lang="en">Chugunov I.A., Davtyan K.V., Brutyan A.A., Bazaeva E.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestar.elpub.ru/jour/article/view/1131">https://vestar.elpub.ru/jour/article/view/1131</self-uri><abstract><p>Приводится успешный опыт имплантации окклюдера в ушко левого предсердия у пациентки с варикознорасширенными венами пищевода, с использованием внутрисердечного ультразвукового контроля и системы доставки для стабилизации ультразвукового катетера.</p></abstract><trans-abstract xml:lang="en"><p>We present a case of successful intracardiac echocardiography guided left atrial appendage catheter closure in a patient with esophageal varices using deﬂectable delivery sheath to improve ICE-catheter stability.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>внутрисердечное ультразвуковое исследование</kwd><kwd>Amplatzer Amulet</kwd><kwd>фибрилляция предсердий</kwd><kwd>тромбоэмболические осложнения</kwd><kwd>окклюзия ушка левого  предсердия</kwd><kwd>цирроз печени</kwd><kwd>варикознорасширенные вены пищевода</kwd></kwd-group><kwd-group xml:lang="en"><kwd>intracardiac echocardiography</kwd><kwd>Amplatzer Amulet</kwd><kwd>atrial ﬁbrillation</kwd><kwd>thromboembolic complications</kwd><kwd>left atrial appendage occlusion</kwd><kwd>hepatic cirrhosis</kwd><kwd>oesophageal varices</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial ﬁbrillation developed by the European Association for Cardio-Thoracic Surgery (EACTS) European Society of Cardiology (ESC) European Heart Rhythm Association (EHRA) of the ESC. 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