Risks and Benefits of Removal of the Left Atrial Appendage

被引：3
作者：
Murtaza, Ghulam [1 ,2 ]
Boda, Urooge [1 ,2 ]
Turagam, Mohit K. [3 ]
Della Rocca, Domenico G. [4 ]
Akella, Krishna [1 ,2 ]
Gopinathannair, Rakesh [1 ,2 ]
Lakkireddy, Dhanunjaya [1 ,2 ]
机构：
[1] Kansas City Heart Rhythm Inst KCHRI, HCA MidWest,12200,W 106th St, Overland Pk, KS 66215 USA
[2] Overland Pk Reg Med Ctr, Res Fdn, HCA MidWest,12200,W 106th St, Overland Pk, KS 66215 USA
[3] Icahn Sch Med Mt Sinai, Dept Cardiovasc Dis, New York, NY 10029 USA
[4] St Davids Hosp, Austin, TX USA
来源：
CURRENT CARDIOLOGY REPORTS | 2020年 / 22卷 / 11期
关键词：
Benefits of left atrial appendage removal; Risks of atrial appendage removal; Endocardial occlusion benefits; Epicardial exclusion benefits; Watchman; LARIAT; STROKE REDUCTION STRATEGIES; CATHETER ABLATION; FIBRILLATION; CLOSURE; OCCLUSION; WARFARIN; EXPERIENCE; DEVICE; AF; PREVENTION;
D O I：
10.1007/s11886-020-01387-x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of ReviewIn patients with atrial fibrillation who are unable to take novel oral anticoagulants for stroke prophylaxis due to bleeding risk or other contraindications, left atrial appendage (LAA) occlusion and exclusion devices have shown benefit. In this review, we highlight the risks and benefits associated with LAA removal.Recent FindingsLAA, once considered a vestigial organ, has been shown to have physiological, anatomical, and arrhythmogenic properties. Device-related complications such as pericardial effusion, device embolization, device-related thrombus, while uncommon, are still present. With increased operator experience related to appendage occlusion, overall procedural complications have declined. Further refinements in device technology will help decrease complications.SummaryWhile benefits of appendage removal are plenty, procedural complications need to be weighed into the equation when making decisions regarding LAA occlusion.
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页数：8
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