Intracardiac echocardiography-guided left atrial appendage occlusion: descriptive analysis
نویسندگان
چکیده
Abstract Introduction Oral anticoagulants are the standard treatment for prevention of stroke in patients with atrial fibrillation (AF). However, some still have despite anticoagulation or contraindications to anticoagulation. The left appendage occlusion (LAAO) is an option those patients. use intracardiac echocardiography (ICE) instead Transesophageal guiding LAAO procedures has increased, allowing reduce general anesthesia. Objectives aim this study describe data regarding safety and efficacy submitted ICE-guided LAAO. Methods In a tertiary center, were identified. Information baseline characteristics, procedure technical success, complications, hospitalization follow-up was noted retrospectively. registered bleeding rates compared predicted using CHA2DS2-VASc HAS-BLED scores, respectively. Results 45 underwent LAAO, mean age 75.5±9.6 years old, 71.1% male (detailed characteristics table 1). Permanent AF present 68.9% (n=31), average scores 4.0±1.4 3.6±1.1, respectively (predicting risk 4.0% per year major 8.7% year). indication previous 64.4% (n=29), high 24.4% (n=11) embolic events therapeutic 11.1% (n=5). devices implanted successfully 96% (n=43). It complication rate 8.8% (n=4), perforation 4.4% (n=2), device embolization (n=2, one them leading cardiac arrest death) no vascular complications occurred. No other procedure-related deaths duration after 5.7 days. All followed-up period 19.0 months. During that period, another death (2.2%) occurred non-cardiac cause re-hospitalization 26.7% (n=12), (n=5) causes. same 1 6 (13.3%) – yearly 1.4% 8.4%, markedly inferior by score slightly predicted. Conclusions This provides about mainly guided ICE cohort hemorrhagic risk. Funding Acknowledgement Type funding sources: None.
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2022
ISSN: ['2634-3916']
DOI: https://doi.org/10.1093/eurheartj/ehac544.107