Angiographic Efficacy of the Atriclip Left Atrial Appendage Exclusion Device Placed by Minimally Invasive Thoracoscopic Approach

JACC. Clinical Electrophysiology
Christopher R EllisJohn Jeffrey Carr

Abstract

This study sought to assess long-term left atrial appendage (LAA) closure efficacy of the Atriclip applied via totally thoracoscopic (TT) approach with computed tomographic angiography. LAA closure is associated with a low risk for atrial fibrillation-related embolic stroke. The Atriclip exclusion device allows epicardial LAA closure, avoiding the need for post-operative oral anticoagulation. Previous data with Atriclip during open chest procedures show a high efficacy rate of closure >95%. Three-dimensional volumetric 2-phase computed tomographic angiography ≥90 days post-implantation was independently assessed by chest radiology for complete LAA closure on all consented subjects identified retrospectively as having had a TT-placed Atriclip at Vanderbilt University Medical Center from June 13, 2011, to October 6, 2015. Complete LAA closure (defined by complete exclusion of the LAA with no exposed trabeculations, and clip within 1 cm from the left circumflex artery) was found in 61 of 65 subjects (93.9%). Four cases had incomplete closure (6.2%). Two clips were placed too distally, leaving a large stump with exposed trabeculae. Two clips failed to address a secondary LAA lobe. No major complications were associated with TT plac...Continue Reading

References

Feb 1, 1996·The Annals of Thoracic Surgery·J L Blackshear, J A Odell
Sep 13, 2011·The Journal of Thoracic and Cardiovascular Surgery·Gorav AilawadiMichael J Mack
Oct 16, 2012·The Annals of Thoracic Surgery·Richard LeePatrick M McCarthy
Sep 11, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Milosz JaguszewskiUlf Landmesser
Nov 17, 2014·JAMA : the Journal of the American Medical Association·Vivek Y ReddyUNKNOWN PROTECT AF Steering Committee and Investigators
May 23, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Arash AryanaAndré d'Avila
Dec 3, 2015·JACC. Cardiovascular Interventions·Sam G AznaurovChristopher R Ellis
Feb 14, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Dhanunjaya LakkireddyDavid Wilber
May 21, 2016·JACC. Cardiovascular Interventions·Carola GianniAndrea Natale

❮ Previous
Next ❯

Citations

Mar 13, 2020·Journal of Cardiovascular Electrophysiology·James L CoxPatrick M McCarthy
Jul 19, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Robert DeeganJeremy M Bennett
Jul 12, 2019·Interactive Cardiovascular and Thoracic Surgery·Conor ToaleKaren C Redmond
Oct 14, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Marco FranciulliLuigi Chiariello
Aug 3, 2021·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Taira YamamotoAtsushi Amano
Sep 29, 2021·JAAPA : Official Journal of the American Academy of Physician Assistants·James ZapataCathy Chang Letherer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

© 2022 Meta ULC. All rights reserved