Patients with Atrial Fibrillation Undergoing Cardiac Surgery: No Left Atrial Appendage Shall Remain Untouched

被引:2
作者
Whitlock, Richard P. [1 ,2 ,3 ]
Belley-Cote, Emilie P. [1 ,2 ,3 ]
机构
[1] McMaster Univ, Hamilton, ON, Canada
[2] Hamilton Hlth Sci, Hamilton, ON, Canada
[3] Populat Hlth Res Inst, Hamilton, ON, Canada
关键词
cardiac surgery; stroke; left atrial appendage; randomized controlled trial;
D O I
10.1177/15569845211032139
中图分类号
R61 [外科手术学];
学科分类号
摘要
The Left Atrial Appendage Occlusion Study III randomized 4,811 patients with atrial fibrillation and a CHA(2)DS(2)VASc score >= 2 undergoing cardiac surgery to surgical left atrial appendage occlusion or no occlusion. At a mean follow-up of 3.8 years, stroke or systemic embolism was reduced by 33% in the occlusion group with no evidence of early or late adverse effects. This review discusses the implication of these findings.
引用
收藏
页码:301 / 302
页数:2
相关论文
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[1]   Left Atrial Appendage Occlusion during Cardiac Surgery to Prevent Stroke [J].
Whitlock, Richard P. ;
Belley-Cote, Emilie P. ;
Paparella, Domenico ;
Healey, Jeff S. ;
Brady, Katheryn ;
Sharma, Mukul ;
Reents, Wilko ;
Budera, Petr ;
Baddour, Andony J. ;
Fila, Petr ;
Devereaux, P. J. ;
Bogachev-Prokophiev, Alexander ;
Boening, Andreas ;
Teoh, Kevin H. T. ;
Tagarakis, Georgios I. ;
Slaughter, Mark S. ;
Royse, Alistair G. ;
McGuinness, Shay ;
Alings, Marco ;
Punjabi, Prakash P. ;
Mazer, C. David ;
Folkeringa, Richard J. ;
Colli, Andrea ;
Avezum, Alvaro ;
Nakamya, Juliet ;
Balasubramanian, Kumar ;
Vincent, Jessica ;
Voisine, Pierre ;
Lamy, Andre ;
Yusuf, Salim ;
Connolly, Stuart J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2021, 384 (22) :2081-2091