Left atrial appendage closure-indications, techniques, and outcomes: results of the European Heart Rhythm Association Survey
| Autor: | Laurent, Pison, Tatjana S, Potpara, Jian, Chen, Torben B, Larsen, Maria Grazia, Bongiorni, Carina, Blomström-Lundqvist, Irene, Savelieva |
|---|---|
| Přispěvatelé: | RS: CARIM - R2 - Cardiac function and failure, Cardiologie, MUMC+: MA Med Staf Spec Cardiologie (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Septal Occluder Device medicine.medical_treatment Left atrial appendage Administration Oral Comorbidity Left atrial appendage occlusion Risk Assessment Pulmonary vein Anticoagulation Left atrial Physiology (medical) Internal medicine Prevalence Medicine Humans Atrial Appendage Practice Patterns Physicians' Stroke Aged Outcome Aged 80 and over business.industry Anticoagulants Atrial fibrillation Middle Aged medicine.disease Occluder 3. Good health Surgery EP wire Heart Rhythm Causality Europe Treatment Outcome Cardiology Female Tamponade EHRA survey Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Pison, L, Potpara, T S, Chen, J, Larsen, T B, Bongiorni, M G, Blomström-Lundqvist, C & Conducted by the Scientific Initiative Committee, European Heart Rhythm Association 2015, ' Left atrial appendage closure-indications, techniques, and outcomes : results of the European Heart Rhythm Association Survey ', Europace, vol. 17, no. 4, pp. 642-6 . https://doi.org/10.1093/europace/euv069 EP Europace, 17(4), 642-646. Oxford University Press |
| ISSN: | 1099-5129 |
| Popis: | The purpose of this EP Wire was to assess the indications, techniques, and outcomes of left atrial appendage occlusion (LAAO) in Europe. Thirty-three European centres, all members of the European Heart Rhythm Association electrophysiology (EP) research network, responded to this survey by completing the questionnaire. The major indication for LAAO (94%) was the prevention of stroke in patients at high thrombo-embolic risk (CHA2DS2-VASc ≥ 2) and contraindications to oral anticoagulants (OACs). Twenty-one (64%) of the responding centres perform LAAO in their own institution and 80% implanted 30 or less LAAO devices in 2014. Two-dimensional transoesophageal echocardiography was the preferred imaging technique to visualize LAA before, during, and after LAAO in 79, 58, and 62% of the participating centres, respectively. Following LAAO, 49% of the centres prescribe vitamin K antagonists or novel OACs. Twenty-five per cent of the centres combine LAAO with pulmonary vein isolation. The periprocedural complications included death (range, 0-3%), ischaemic or haemorrhagic stroke (0-25%), tamponade (0-25%), and device embolization (0-20%). In conclusion, this EP Wire has demonstrated that LAAO is most commonly employed in patients at high thrombo-embolic risk in whom OAC is contraindicated. The technique is not yet very widespread and the complication rates remain significant. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|