Key result
This review describes the clinical features of patients considered for left atrial appendage occlusion and the role of multimodality imaging in patient selection, procedural management, and follow-up.
Why the study?
LAAO is a complex preventive procedure with variable anatomy, multiple available devices, and an unclear ideal postprocedural antithrombotic strategy.
This review outlines the clinical features and role of multimodality imaging in selecting and managing patients undergoing left atrial appendage occlusion.
LAAO may suit selected anticoagulation-intolerant AF patients; leaves open optimal device selection amid high LAA anatomical variability.
Atrial fibrillation (AF) can lead to embolic stroke and in subjects with non-valvular AF most of thrombi are sited in the left atrial appendage (LAA). LAA is a structure located in the free wall of heart with a wide variable and complex anatomy. LAA occlusion (LAAO) could be taken in consideration in subjects with non-valvular AF and who cannot have long-term anticoagulant therapy. It is a complex preventive procedure given the high variability of patients characteristics and several LAAO devices available nowadays. Moreover, the ideal postprocedural antithrombotic strategy is still unclear. In this review we aim to describe clinical features of patients committed for LAA occlusion and the function of multimodality imaging in subjects selection, procedural management and follow up.
No takes yet. Share an insight, caveat, or question.
Riegler et al. (2021) conducted a review in Non-valvular atrial fibrillation. Left atrial appendage occlusion and multimodality imaging was evaluated. This review describes the clinical features of patients considered for left atrial appendage occlusion and the role of multimodality imaging in patient selection, procedural management, and follow-up.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: