PMID: 22584492May 16, 2012Paper

Left atrial appendage closure with the Amplatzer cardiac plug in patients with atrial fibrillation

Arquivos brasileiros de cardiologia
Enio Eduardo GuériosBernhard Meier

Abstract

Percutaneous left atrial appendage closure (LAAC) has emerged as an alternative to oral anticoagulation (OA) for prevention of thromboembolic stroke in patients with non-valvular atrial fibrillation (NVAF). To describe the immediate results and short- to medium-term clinical follow-up (FU) of patients that underwent LAAC with Amplatzer Cardiac Plug (ACP) implantation in a single reference center. Eighty-six consecutive patients with NVAF, contraindication to OA, and CHADS2 score=2.6 ± 1.2 underwent LAAC with ACP implantation. Clinical and echocardiographic FU was performed at least four months after the procedure. All implants were guided by angiography alone. Procedural success was 99% (one patient suffered a cardiac tamponade requiring pericardiocentesis, and the procedure was waived). There were four major complications (the already mentioned cardiac tamponade, two transient ischemic attacks and one device embolization with percutaneous retrieval) and two minor complications (one pericardial effusion without clinical significance and one non-significant ASD evidenced at FU). There was one in-hospital death after six days, unrelated to the procedure. All other patients were discharged without OA. After 25.9 patient-years of F...Continue Reading

Citations

Aug 4, 2015·BioMed Research International·Damiano RegazzoliPatrizio Mazzone
Jan 24, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Xavier FreixaRéda Ibrahim
Apr 30, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Thorsten LewalterA John Camm
Dec 7, 2013·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Marco R SchroeterWolfgang Schillinger
Aug 26, 2015·Methodist DeBakey Cardiovascular Journal·Miguel Valderrábano, Matthew J Price
Oct 21, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mathias WolfrumFabian Nietlispach
Oct 23, 2013·Nature Reviews. Cardiology·Cheuk-Man YuBernhard Meier
Nov 5, 2017·Herzschrittmachertherapie & Elektrophysiologie·Carsten SkurkUlf Landmesser
Oct 7, 2017·Journal of Cardiovascular Medicine·Giuseppe PattiPietro Sedati
Jul 14, 2020·Frontiers in Cardiovascular Medicine·Indranill Basu RayMohammad Saeed
Aug 11, 2017·Nature Reviews. Cardiology·Etem CaliskanMaximilian Y Emmert
Mar 5, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Steffen GloeklerBernhard Meier
Mar 13, 2013·Herzschrittmachertherapie & Elektrophysiologie·Jai-Wun Park
Jun 5, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Sergio BertiJens E Nielsen-Kudsk

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