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March 20, 2010Catheterization and Cardiovascular Interventions

Transcatheter occlusion of the left atrial appendage—Experimental testing of a new amplatzer device

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Key result

Implantation of the Amplatzer Cardiac Plug in 10 canines achieved 100% successful placement and complete left atrial appendage occlusion without embolization or device thrombus.

Why the study?

Does the Amplatzer Cardiac Plug safely and effectively occlude the left atrial appendage in a canine model?

Population

10 canines (animal model)

Design

Preclinical

Follow-up

up to approximately 90 days

Authors

JBJohn L. BassUniversity of Arizona

Discussion

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Implication

Supports proceeding to human trials; leaves open clinical safety and efficacy.

Structured PICO

Does the Amplatzer Cardiac Plug safely and effectively occlude the left atrial appendage in a canine model?

P
Population
10 canines undergoing left atrial appendage occlusion with the Amplatzer Cardiac Plug, followed for up to approximately 90 days.
I
Intervention
Amplatzer Left Atrial Appendage Occluder Device (Amplatzer Cardiac Plug), a transcatheter Nitinol device containing polyester fabric
O
Outcome
Feasibility and efficacy of implantation, assessed by echocardiography, angiography, and final pathological examinationsafety

The Amplatzer Cardiac Plug demonstrated safety and feasibility for transcatheter left atrial appendage occlusion in a canine model, supporting the initiation of human trials.

Limitations

  • Small canine left atrium

Cite This Study

John L. Bass (2010) studied Left atrial appendage occlusion (n=10). Amplatzer Cardiac Plug was evaluated on Feasibility and efficacy of implanting the device (complete occlusion, thrombus formation, complications). Implantation of the Amplatzer Cardiac Plug in 10 canines achieved 100% successful placement and complete left atrial appendage occlusion without embolization or device thrombus.

synapsesocial.com/papers/6a20a2df6236d09b9bcd3946https://doi.org/10.1002/ccd.22536

Topics

Left atrial appendage closure
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anatomy of the Normal Left Atrial Appendage1997 · 420 citations
  2. 2Anticoagulation in Atrial Fibrillation1994 · 224 citations
  3. 3ATRIAL FIBRILLATION1969 · 225 citations
  4. 4Trial of Different Intensities of Anticoagulation in Patients with Prosthetic Heart Valves1990 · 371 citations
  5. 5Validation of Clinical Classification Schemes for Predicting Stroke2001 · 4,858 citations