Left Atrial Appendage Closure: A Current Overview Focused on Technical Aspects and Different Approaches

F. Guarracini, M. Martin, M. Marini, S. Branzoli, G. Casagranda, D. Muser, G.B. Forleo, A. Gasperetti, M. Di Marco, S. Guarracini, R. Bonmassari, P. Mazzone, A.M. Calafiore, M. Di Mauro*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Several studies in literature have shown that 90% of emboli related to non-valvular atrial fibrillation originate from left atrial appendage. Percutaneous closure or surgical exclusion of left atrial appendage in patients with high bleeding and high cardioembolic risk is currently a well established procedure in literature, clinical practice and guidelines. Knowledge of different techniques of left atrial appendage closure is necessary to individualize the procedure according to the patient anatomy and pre-procedural imaging evaluations. In this review the authors will evaluate different left atrial appendage closure systems and the different pre and intra procedural imaging methods.
Original languageEnglish
Article number155
Number of pages12
JournalReviews in Cardiovascular Medicine
Volume23
Issue number5
DOIs
Publication statusPublished - 24 Apr 2022

Keywords

  • left atrial appendage occlusion
  • atrial fibrillation
  • bleeding risk
  • surgical left atrial appendage exclusion
  • AMPLATZER CARDIAC PLUG
  • TRANSCATHETER OCCLUSION
  • ORAL ANTICOAGULANTS
  • CLIP OCCLUSION
  • FIBRILLATION
  • STROKE
  • DEVICE
  • WARFARIN
  • ABLATION
  • WATCHMAN

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