Lessons From Drive-By Left Atrial Appendage Occlusion.
نویسنده
چکیده
T he paper by Koskinas et al. (1) in this issue of JACC: Cardiovascular Interventions describes a large series of left atrial appendage closures (LAAC) and very early outcomes data. The authors’ experience is admirable, dates back to the very beginning of endovascular LAAC, and incorporates a now obsolete device (Percutaneous Left Atrial Appendage Transcatheter Occlusion [PLAATO]) and a largely discredited approach (nondedicated Amplatzer devices, in particular atrial and ventricular septal occluders).
منابع مشابه
A Semi-Automated Algorithm for Segmentation of the Left Atrial Appendage Landing Zone: Application in Left Atrial Appendage Occlusion Procedures
Background: Mechanical occlusion of the Left atrial appendage (LAA) using a purpose-built device has emerged as an effective prophylactic treatment in patients with atrial fibrillation at risk of stroke and a contraindication for anticoagulation. A crucial step in procedural planning is the choice of the device size. This is currently based on the manual analysis of the “Device Landing Zone” fr...
متن کاملSegmentation of the Left Atrial Appendage in the Echocardiographic Images of the Heart Using a Deep Neural Network
Introduction: Cardiovascular diseases are one of the leading causes of mortality in today’s industrial world. Occlusion of left atrial appendage (LAA) using the manufactured devices is a growing trend. The objective of this study was to develop a computer-aided diagnosis system for the identification of LAA in echocardiographic images. Method: The data used in this descriptive analytical study ...
متن کاملSegmentation of the Left Atrial Appendage in the Echocardiographic Images of the Heart Using a Deep Neural Network
Introduction: Cardiovascular diseases are one of the leading causes of mortality in today’s industrial world. Occlusion of left atrial appendage (LAA) using the manufactured devices is a growing trend. The objective of this study was to develop a computer-aided diagnosis system for the identification of LAA in echocardiographic images. Method: The data used in this descriptive analytical study ...
متن کاملLeft atrial appendage clip occlusion: early clinical results.
OBJECTIVE Atrial fibrillation puts patients at significant risk for embolic stroke originating from the left atrial appendage. Few means are available for safe, effective, and durable left atrial appendage occlusion. A new clip device was evaluated with regard to safety and effectiveness for epicardial left atrial appendage occlusion. METHODS Patients with atrial fibrillation undergoing elect...
متن کاملPercutaneous left atrial appendage occlusion: New perspectives for the method.
Ischemic stroke is a common complication of atrial fibrillation (AF). Currently, oral anticoagulant drugs are the most commonly used method of stroke prevention. Left atrial appendage occlusion is thought to be the main source of thrombi in patients with AF. Percutaneous left atrial appendage is a valuable therapeutic option for selected high-risk patients with AF and contraindications for oral...
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ورودعنوان ژورنال:
- JACC. Cardiovascular interventions
دوره 9 13 شماره
صفحات -
تاریخ انتشار 2016