Evaluation of the WATCHMAN left atrial appendage closure device

被引:8
作者
Alli, Oluseun [1 ,2 ]
Holmes, David, Jr. [3 ,4 ]
机构
[1] Univ Alabama Birmingham, Div Cardiovasc Dis, Birmingham, AL 35294 USA
[2] Univ Alabama Birmingham, Dept Internal Med, Birmingham, AL 35294 USA
[3] Mayo Clin & Mayo Fdn, Div Cardiovasc Dis, Rochester, MN 55905 USA
[4] Mayo Clin & Mayo Fdn, Dept Internal Med, Rochester, MN 55905 USA
关键词
atrial fibrillation; left atrial appendage; left atrial appendage occlusion; oral anticoagulant; PROTECT AF; WATCHMAN; STROKE PREVENTION; WARFARIN THERAPY; ANTITHROMBOTIC THERAPY; PERCUTANEOUS CLOSURE; RISK STRATIFICATION; EMBOLIC PROTECTION; PREDICTING STROKE; FIBRILLATION; ANTICOAGULATION; ASPIRIN;
D O I
10.1586/17434440.2014.940315
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Left atrial appendage device occlusion for the preventions of systemic thromboembolism and stroke represents a major breakthrough in the field of cardiovascular disease. The wide prevalence of atrial fibrillation with devastating consequences of thromboembolic stroke as a result of thrombus arising from the left atrial appendage has led to the development of transcatheter and surgical based occlusion devices. Though this device is yet to be formally approved for a clinical indication in the USA, the WATCHMAN appendage occlusion device remains the most rigorously examined and studied of all transcatheter-based devices in this space. This review will focus on the needs assessment in this space, the technology of the current WATCHMAN device, trials and studies looking at safety and efficacy, specific patient populations who might benefit as well as future perspectives.
引用
收藏
页码:541 / 551
页数:11
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