Left atrial appendage occlusion: consensus document of Association of Cardiovascular Interventions and Heart Rhythm Section of Polish Cardiac Society

被引：23

作者：

Grygier, Marek ^{[1
]}

Wojakowski, Wojciech ^{[2
]}

Smolka, Grzegorz ^{[2
]}

Demkow, Marcin ^{[3
]}

Wasek, Wojciech ^{[4
]}

Sorysz, Danuta ^{[5
]}

Kralisz, Pawel ^{[6
]}

Bartus, Krzysztof ^{[7
]}

Sukiennik, Adam ^{[8
]}

Pracon, Radoslaw ^{[4
]}

Witkowski, Adam ^{[9
]}

Kowalski, Oskar ^{[10
]}

Legutko, Jacek ^{[11
]}

机构：

[1] Uniwersytet Med, Katedra Kardiol, Klin Kardiol 1, Poznan, Poland

[2] Slaski Uniwerystet Med, Klin Kardiol & Chorob Strukturalnych Serca, Katowice, Poland

[3] Inst Kardiol, Klin Choroby Wiencowej & Strukturalnych Chorob Se, Warsaw, Poland

[4] Wojskowy Inst Med, Pracownia Hemodynamiki Klin Kardiol & Chorob Wewn, Warsaw, Poland

[5] Uniwersytet Jagiellonski, Coll Med, Inst Kardiol, Szpital Uniwersytecki,Oddzial Klin Kardiol & Inte, Krakow, Poland

[6] Uniwersytet Med, Klin Kardiol Inwazyjnej, Bialystok, Poland

[7] Uniwersytet Jagiellonski, Coll Med, Klin Chirurg Serca Naczyn & Transplantol, Krakow, Poland

[8] Uniwersytet Mikolaja Kopernika Toruniu, Coll Med, Klin Kardiol, Bydgoszcz, Poland

[9] Instytut Kardiol, Klin Kardiol & Angiol Interwencyjnej, Warsaw, Poland

[10] Slaski Uniwersytet Med, Katedra Kardiol Wrodzonych Wad Serca & Elektroter, Pracownia Elektrofizjol & Stymulacji Serca, Zabrze, Poland

[11] Uniwersytet Jagiellonski, Coll Med, Klin Kardiol Interwencji & Sercowo Naczyniowych 2, Krakow, Poland

来源：

KARDIOLOGIA POLSKA | 2018年 / 76卷 / 03期

关键词：

clinical expert consensus document; left atrial appendage occlusion; atrial fibrillation; stroke; anticoagulation; LAA occluders;

D O I：

10.5603/KP.a2018.0057

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Left atrial appendage (LAA) occlusion devices have the potential to influence the clinical approach to stroke prevention in patients with atrial fibrillation. A number of percutaneous techniques have been proposed, including various intracardiac plugs and also external ligation. Several devices have been already used in Poland. One of them has been evaluated in randomised controlled trials compared with the current standard of care. Others are less well studied but quite commonly used in Europe. It is anticipated that the use of LAA occlusion technologies in clinical practice will expand. This Consensus Document prepared jointly by Association of Cardiovascular Interventions (AISN) and Heart Rhythm Section (HRS) of Polish Cardiac Society seeks to highlight the critical issues surrounding LAA occlusion therapies and to facilitate the alignment of multiple interests, including those of primary care physicians, general cardiologists and procedural specialists (electrophysiologists and interventional cardiologists) but also other medical professionals. The article summarises current evidence and provides specific recommendations on organisation and conduct of LAA therapy in patients with atrial fibrillation in Poland and defines also operator and institutional requirements fundamental to the establishment of successful LAA occlusion programmme.

引用

页码：677 / 697

页数：21