An Overview of Left Atrial Appendage Occlusion Devices

被引:4
作者
Feldmann, Kyle J. [1 ]
Arshi, Arash [1 ]
Yakubov, Steven J. [1 ]
机构
[1] Riverside Methodist Hosp, Dept Internal Med, Columbus, OH 43214 USA
关键词
Left atrial appendage; Left atrial appendage occlusion; Left atrial appendage exclusion; Left atrial appendage closure; Atrial fibrillation; Watchman; AMPLATZER CARDIAC PLUG; CLINICAL CLASSIFICATION SCHEMES; PERCUTANEOUS CLOSURE; RISK STRATIFICATION; STROKE PREVENTION; NATIONAL REGISTRY; PREDICTING STROKE; WARFARIN THERAPY; FIBRILLATION; ANTICOAGULATION;
D O I
10.1007/s11886-015-0573-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atrial fibrillation (AF) places patients at increased risk of thromboembolic events that can be devastating. The left atrial appendage (LAA) has been identified as the source of thrombus formation in nonvalvular AF. Traditionally, systemic anticoagulation has been used to reduce the risk of stroke and systemic embolism. However, anticoagulation is not well tolerated in all patients and is underutilized. As a potential alternative to anticoagulation, novel therapies have been developed to remove the LAA. Three main techniques are being utilized to accomplish LAA exclusion: percutaneous intracardiac, percutaneous epicardial, and surgical approaches. Emerging evidence suggests that LAA exclusion may be an effective means of reducing the risk of stroke in patients with nonvalvular AF.
引用
收藏
页码:1 / 8
页数:8
相关论文
共 47 条
[21]   Prospective Randomized Evaluation of the Watchman Left Atrial Appendage Closure Device in Patients With Atrial Fibrillation Versus Long-Term Warfarin Therapy [J].
Holmes, David R., Jr. ;
Kar, Saibal ;
Price, Matthew J. ;
Whisenant, Brian ;
Sievert, Horst ;
Doshi, Shephal K. ;
Huber, Kenneth ;
Reddy, Vivek Y. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 64 (01) :1-12
[22]   Success of surgical left atrial appendage closure [J].
Kanderian, Anne S. ;
Gillinov, A. Marc ;
Pettersson, Gosta B. ;
Blackstone, Eugene ;
Klein, Allan L. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 52 (11) :924-929
[23]   Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiographic study [J].
Katz, ES ;
Tsiamtsiouris, T ;
Applebaum, RM ;
Schwartzbard, A ;
Tunick, PA ;
Kronzon, I .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (02) :468-471
[24]  
Lam SC, 2014, CATHETER CARDIOVASC
[25]   Left atrial appendage closure with Amplatzer cardiac plug for stroke prevention in atrial fibrillation: Initial Asia-Pacific experience [J].
Lam, Yat-Yin ;
Yip, Gabriel W. K. ;
Yu, Cheuk-Man ;
Chan, Wilson W. M. ;
Cheng, Boron C. W. ;
Yan, Bryan P. ;
Clugston, Richard ;
Yong, Gerald ;
Gattorna, Tim ;
Paul, Vincent .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2012, 79 (05) :794-800
[26]  
Lee RJ, 2014, PRESENTED HEART RHYT
[27]   Refining Clinical Risk Stratification for Predicting Stroke and Thromboembolism in Atrial Fibrillation Using a Novel Risk Factor-Based Approach The Euro Heart Survey on Atrial Fibrillation [J].
Lip, Gregory Y. H. ;
Nieuwlaat, Robby ;
Pisters, Ron ;
Lane, Deirdre A. ;
Crijns, Harry J. G. M. .
CHEST, 2010, 137 (02) :263-272
[28]   Percutaneous Management of Late Leak After Lariat Transcatheter Ligation of the Left Atrial Appendage in Patients With Atrial Fibrillation at High Risk for Stroke [J].
Mosley, William J., II ;
Smith, Michael R. ;
Price, Matthew J. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2014, 83 (04) :664-669
[29]   Thoracoscopic Stand-Alone Left Atrial Appendectomy for Thromboembolism Prevention in Nonvalvular Atrial Fibrillation [J].
Ohtsuka, Toshiya ;
Ninomiya, Mikio ;
Nonaka, Takahiro ;
Hisagi, Motoyuki ;
Ota, Takahiro ;
Mizutani, Toru .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 62 (02) :103-107
[30]   Left Atrial Appendage Closure With Amplatzer Cardiac Plug in Atrial Fibrillation: Initial European Experience [J].
Park, Jai-Wun ;
Bethencourt, Armando ;
Sievert, Horst ;
Santoro, Gennaro ;
Meier, Bernhard ;
Walsh, Kevin ;
Ramon Lopez-Minquez, Jose ;
Meerkin, David ;
Valdes, Mariano ;
Ormerod, Oliver ;
Leithaeuser, Boris .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2011, 77 (05) :700-706