Why the study?
Atrial fibrillation remains challenging in older patients with multiple comorbidities, in whom anticoagulation may cause life-threatening bleeding and might not be possible.
Does robotic-assisted left atrial appendage closure provide a safe and effective treatment strategy in a frail octogenarian with atrial fibrillation and recurrent bleeding?
Does robotic-assisted left atrial appendage closure provide a safe and effective treatment strategy in a frail octogenarian with atrial fibrillation and recurrent bleeding?
Robotic-assisted left atrial appendage closure is a feasible and effective strategy for frail elderly patients with atrial fibrillation who are ineligible for anticoagulation due to bleeding risk.
May warrant consideration in frail octogenarians with AF and bleeding risk; hypothesis-generating for larger robotic LAA closure studies.
Atrial fibrillation remains a challenging condition to treat, especially in older patients with multiple comorbidities. Anticoagulation may lead to life-threatening bleeding and therefore might not be possible in high-risk patients. We report the case of a successful robotic-assisted left atrial appendage closure in such a patient, which proved to be an effective treatment strategy and provided a rapid recovery.
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Poffo et al. (2026) studied this question.
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