TCT-691 Cost-comparison of Intracardiac and Transesophageal Echocardiography to Guide Left Atrial Appendage Occlusion

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Left Atrial Appendage Closure Under Intracardiac Echocardiographic Guidance: Feasibility and Comparison With Transesophageal Echocardiography

BACKGROUND Transcatheter left atrial appendage closure is an alternative therapy for stroke prevention in atrial fibrillation patients. These procedures are currently guided with transesophageal echocardiography and fluoroscopy in most centers. As intracardiac echocardiography (ICE) is commonly used in other catheter-based procedures, we sought to determine the safety and effectiveness of intra...

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Cost-Effectiveness of Left Atrial Appendage Occlusion

The idea that mechanical intervention to close the left atrial appendage (LAA) might reduce complications from atrial fibrillation (AF) is at least 70 years old. Early attempts to test this idea in humans with surgical ligation were abandoned after only a few years for 2 reasons. First, proponents soon realized that they had no way to choose the candidates believed most likely to benefit withou...

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Percutaneous device closure of the left atrial appendage (LAA) has been introduced in the last decade as a minimally invasive alternative treatment to long-term anticoagulation to reduce the risk of thrombo-embolism in patients with atrial fibrillation. Echocardiography is an essential tool at all stages of the procedure. Pre-procedural echocardiography is used to screen suitable candidates and...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2017

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2017.09.644