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February 1, 2025BMJ OpenOpen Access

Contemporary European practice in left atrial appendage closure: results from a survey focusing on planning, techniques and post-implantation management

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Key result

Survey of European LAAC centers reveals significant regional heterogeneity in planning, techniques, and post-procedural management.

  • n=357

Why the study?

The survey aimed to describe current preprocedural planning, procedural techniques, and post-implantation management of left atrial appendage closure across Europe.

What are the contemporary European practices regarding preprocedural planning, procedural techniques, and post-implantation management for left atrial appendage closure?

Population

357 participating European LAAC centres in 14 countries

Design

Prospective survey

Authors

Philippe GarotPhilippe GarotInterventional / Structural CardiologyJNJens-Erik Nielsen-KudskAarhus University HospitalXFXavier FreixaInterventional Cardiology

Discussion

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Implication

Substantial European LAAC practice variation warrants caution in adopting local protocols; leaves open which planning, guidance, and antithrombotic strategies optimize outcomes.

Study Design

Type

Cross-Sectional (n=357)

Multicenter

Yes

Structured PICO

What are the contemporary European practices regarding preprocedural planning, procedural techniques, and post-implantation management for left atrial appendage closure?

P
Population
357 European LAAC centres across 14 countries surveyed on preprocedural planning, procedural techniques, and post-implantation management.
E
Exposure
Survey of current practice for LAAC (preprocedural planning, procedure techniques, and post-implantation management)
O
Outcome
Current preprocedural planning, procedure techniques and post-implantation management of left atrial appendage closure (LAAC)

A European survey reveals widespread adoption of LAAC but highlights significant regional heterogeneity in preprocedural planning, procedural techniques, and post-procedural antithrombotic regimens.

Cite This Study

Garot et al. (2025) conducted a cross-sectional in Left atrial appendage closure (n=357). Left atrial appendage closure (LAAC) practice was evaluated on Current preprocedural planning, procedure techniques and post-implantation management of LAAC. A survey of 357 European centers performing 9,447 LAAC procedures revealed significant regional heterogeneity in preprocedural planning, procedural techniques, and post-procedural management.

synapsesocial.com/papers/6a3b1f96cc8dbc104a21bc47https://doi.org/10.1136/bmjopen-2024-090541

Topics

Left atrial appendage closurePersistent AF managementAtrial fibrillationAF ablation outcomesAnticoagulation in AF
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Also Consider

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

  1. 1Left atrial appendage closure-indications, techniques, and outcomes: results of the European Heart Rhythm Association Survey2015 · 91 citations
  2. 2Effectiveness and Safety of an Outpatient Program for Percutaneous Left Atrial Appendage Occlusion2023 · 2 citations
  3. 3Left atrial appendage occluder implantation in Europe: indications and anticoagulation post-implantation. Results of the European Heart Rhythm Association Survey2017 · 44 citations
  4. 4Same‐day discharge for left atrial appendage occlusion procedure: A systematic review and meta‐analysis2023 · 6 citations
  5. 5Left Atrial Appendage Studied by Computed Tomography to Help Planning for Appendage Closure Device Placement2010 · 388 citations