Pulmonary ridge coverage and device-related thrombosis after left atrial appendage occlusion
| Autor: | Mercè Roqué, Maria José Carretero, Pedro L. Cepas-Guillén, Mónica Masotti, Victoria Martin-Yuste, Xavier Freixa, Laura Sanchis, Marta Sitges, Ander Regueiro, Manel Sabaté, Eduardo Flores-Umanzor, Andrea Fernandez-Valledor, Barbara Vidal, Salvatore Brugaletta |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Vascular access Atrial fibrillation medicine.disease Left atrial appendage occlusion Thrombosis Internal medicine Cardiac tamponade medicine Cardiology In patient Cardiology and Cardiovascular Medicine business Adverse effect Major bleeding |
| Zdroj: | EuroIntervention. 16:e1288-e1294 |
| ISSN: | 1969-6213 |
| DOI: | 10.4244/eij-d-20-00886 |
| Popis: | AIMS The aim of this study was to evaluate the impact of pulmonary ridge (PR) coverage on both clinical and imaging follow-up outcomes in patients undergoing left atrial appendage occlusion (LAAO). METHODS AND RESULTS The study included consecutive patients with non-valvular atrial fibrillation who underwent LAAO with disc and lobe devices. Patients were classified into two groups according to the PR coverage. A total of 147 patients were included. Among these, the PR was covered in 109 (74%) and uncovered in 38 (26%). Successful implantation was achieved in 98.6%. No differences in procedural outcomes were observed between the groups. The rate of procedural major adverse events was 3% (only major bleedings and/or vascular access complications). No device embolisation, cardiac tamponade or in-hospital mortality was observed. After a mean follow-up of 1.77±2.2 years, the annualised ischaemic stroke and major bleeding rate was 1.3%/year and 6.5%/year, respectively, without differences between groups. At follow-up, patients with a covered PR presented a lower incidence of device-related thrombosis (DRT) (1%) than those with an uncovered PR (27%); p |
| Databáze: | OpenAIRE |
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