Left Atrial Appendage Occlusion Current Advances and Remaining Challenges

被引:1
作者
Alkhouli, Mohamad [1 ,6 ]
Ellis, Christopher R. [2 ]
Daniels, Matthew [3 ]
Coylewright, Megan [4 ]
Nielsen-Kudsk, Jens Erik [5 ]
Holmes, David R. [1 ]
机构
[1] Mayo Clin, Dept Cardiol, Sch Med, Rochester, MN 55905 USA
[2] Vanderbilt Univ, Dept Med, Div Cardiovasc Med, Nashville, TN USA
[3] Univ Manchester, Inst Cardiovasc Sci, Core Technol Facil, Manchester, England
[4] Erlanger Heart & Lung Inst, Dept Cardiovasc Med, Chattanooga, TN USA
[5] Aarhus Univ Hosp, Dept Cardiol, Aalborg, Denmark
[6] Mayo Clin, 200 First St SW, Rochester, MN 55905 USA
来源
JACC-ADVANCES | 2022年 / 1卷 / 05期
关键词
anticoagulation; atrial fibrillation; left atrial appendage occlusion; stroke; DEVICE-RELATED THROMBUS; CARDIAC COMPUTED-TOMOGRAPHY; WATCHMAN DEVICE; CLINICAL IMPACT; 1ST EXPERIENCE; CLOSURE; OUTCOMES; STROKE; ASSOCIATION; MANAGEMENT;
D O I
10.1016/j.jacadv.2022.100136
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The field of left atrial appendage occlusion is rapidly evolving. However, several issues remain including the limited randomized efficacy data, peri-device leak, device-related thrombus, and the ongoing refinement of procedural techniques. In this article, we provide a contemporary overview of left atrial appendage occlusion focusing on 4 key remaining challenges: efficacy data, peri-device leak, device-related thrombus, and procedural optimization. (JACC Adv 2022;1:100136) (c) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
引用
收藏
页码:1 / 18
页数:18
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