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November 1, 2005Expert Review of Cardiovascular Therapy

Transcatheter occlusion of the left atrial appendage for stroke prevention

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Key result

Percutaneous occlusion of the left atrial appendage is feasible and safe, and appears to reduce the risk of stroke in atrial fibrillation patients with contraindications to long-term warfarin.

Why the study?

Does percutaneous occlusion of the left atrial appendage prevent stroke in patients with atrial fibrillation and contraindication for long-term warfarin treatment?

Population

Patients with atrial fibrillation and contraindication for long-term warfarin treatment

Design

Review

Authors

YBYves BayardUniversity Hospital of BernSOS. OstermayerUniversitätsklinikum Aachen
Horst Sievert
Horst SievertInterventional / Structural Cardiology

Discussion

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Overview

Supports LAA occlusion consideration in warfarin-contraindicated AF; leaves open need for randomized confirmation of stroke reduction.

Structured PICO

Does percutaneous occlusion of the left atrial appendage prevent stroke in patients with atrial fibrillation and contraindication for long-term warfarin treatment?

P
Population
Patients with atrial fibrillation and contraindication for long-term warfarin treatment
I
Intervention
Percutaneous occlusion of the left atrial appendage (using PLAATO system, WATCHMAN filter system, or Amplatzer septal occluder)
O
Outcome
Strokehard clinical

Transcatheter left atrial appendage occlusion is a feasible and safe approach for stroke prevention in patients with atrial fibrillation who are contraindicated for long-term warfarin therapy.

Cite This Study

Bayard et al. (2005) conducted a review in Atrial fibrillation. Percutaneous occlusion of the left atrial appendage was evaluated on Stroke. Percutaneous occlusion of the left atrial appendage is feasible and safe, and appears to reduce the risk of stroke in atrial fibrillation patients with contraindications to long-term warfarin.

synapsesocial.com/papers/6a9e8487e4e1f7acece9809chttps://doi.org/10.1586/14779072.3.6.1003
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Also Consider

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

  1. 1Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiographic study2000 · 398 citations
  2. 2Anatomy of the Normal Left Atrial Appendage1997 · 420 citations
  3. 3ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease2006 · 8,514 citations
  4. 4Percutaneous Left Atrial Appendage Transcatheter Occlusion to Prevent Stroke in High-Risk Patients With Atrial Fibrillation2002 · 435 citations
  5. 5Validation of Clinical Classification Schemes for Predicting Stroke2001 · 4,857 citations