Percutaneous left atrial appendage closure for stroke prevention in hypertrophic cardiomyopathy patients with atrial fibrillation

Aglan, Amro; Fath, Ayman R.; Maron, Barry J.; Maron, Martin S.; Prasad, Anand; Almomani, Ahmed; Hammadah, Muhammad; Reynolds, Matthew R.; Rowin, Ethan J.

doi:10.1016/j.hrthm.2024.05.038

Heart Rhythm

2024

DOI: 10.1016/j.hrthm.2024.05.038

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Percutaneous left atrial appendage closure for stroke prevention in hypertrophic cardiomyopathy patients with atrial fibrillation

Amro Aglan,

Ayman R. Fath,

Barry J. Maron

et al.

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2024

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A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion

Święczkowski,

Dąbrowski,

Muszyński

et al. 2024

JCDD

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Atrial fibrillation (AF) is the most common arrhythmia worldwide, and is associated with a significant risk of thromboembolic events. Left atrial appendage occlusion (LAAO) has emerged as a promising alternative for patients with contraindications or intolerance to anticoagulant therapy. This review summarises the current evidence, indications, and technical advancements in surgical and percutaneous LAAO. Preprocedural planning relies on various imaging techniques, each with unique advantages and limitations. The existing randomised clinical trials and meta-analyses demonstrate favourable results for both percutaneous and surgical LAAO. Postprocedural management emphasises personalised anticoagulation strategies and comprehensive imaging surveillance to ensure device stability and detect complications. Future focus should be put on antithrombotic regimens, investigating predictors of device-related complications, and simplifying procedural aspects to enhance patient outcomes. In summary, LAAO is presented as a valuable therapeutic option for preventing AF-related thromboembolic events, with ongoing research aimed at refining techniques and improving patient care.

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A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion

Święczkowski,

Dąbrowski,

Muszyński

et al. 2024

JCDD

View full text Add to dashboard Cite

show abstract

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Percutaneous left atrial appendage closure for stroke prevention in hypertrophic cardiomyopathy patients with atrial fibrillation

Cited by 1 publication

References 31 publications

A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion

A Comprehensive Review of Percutaneous and Surgical Left Atrial Appendage Occlusion

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