Percutaneous Left Atrial Appendage Occlusion: What the Practising Physician Should Know

Autor: Pierluigi Merella, Giuseppe Talanas, Giovanni Lorenzoni, Cristiana Denurra, Enrico Atzori, Gavino Casu
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: European Cardiology Review, Vol 18, Iss , Pp - (2023)
Druh dokumentu: article
ISSN: 1758-3764
1758-3756
89647459
DOI: 10.15420/ecr.2023.18
Popis: Non-valvular AF is a common clinical condition associated with an increased risk of thromboembolic complications. As a consequence, oral anticoagulant therapy (OAT) is the cornerstone of non-valvular AF management. Despite the well-established efficacy of OAT, many patients cannot receive this preventive therapy due to bleeding or a high risk of bleeding. The fact that more than 90% of thrombi are formed in the left atrial appendage has led to the development of alternative methods to reduce the embolic risk. Left atrial appendage occlusion (LAAO) is a non-pharmacological option for preventing cardioembolic events in patients with non-valvular AF with a contraindication to OAT. The demand for LAAO procedures is growing exponentially and clinicians should consider this alternative option when managing patients with a contraindication to OAT. This review summarises the current thinking about LAAO.
Databáze: Directory of Open Access Journals