Why the study?
The left atrial appendage is thought to cause most embolic strokes and is a key target in surgical atrial fibrillation management, prompting presentation of an original clip-and-loop technique.
Does the clip-and-loop technique using AtriClip prevent stroke recurrence and allow anticoagulant discontinuation in post-stroke patients with atrial fibrillation?
Does the clip-and-loop technique using AtriClip prevent stroke recurrence and allow anticoagulant discontinuation in post-stroke patients with atrial fibrillation?
The clip-and-loop technique using AtriClip via left minithoracotomy is a feasible approach for left atrial appendage occlusion that may allow for safe discontinuation of anticoagulation in post-stroke patients with atrial fibrillation.
Clip-and-loop LAA closure feasible in small series; leaves open efficacy for stroke prevention in AF.
The left atrial appendage is thought to be responsible for the majority of embolic strokes, and has become an important target in the surgical management of atrial fibrillation. We present an original clip-and-loop technique using an AtriClip via a left minithoracotomy for post-stroke patients with atrial fibrillation. This procedure was performed in 43 cases between March 2018 and January 2020. No patient had a thrombus at the edge of the clip or communication into the left atrial appendage 3 months after surgery. Anticoagulant could be discontinued in all patients. Follow-up at 23 ± 10 months showed no recurrence of stroke.
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Suematsu et al. (2020) studied this question.
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