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Updated: Mar 1, 2026
23:33
The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
84.6K
Device- and LAA-Specific Characteristics for Successful LAA Closure: Tips and Tricks
1Heart Institute, Cedars-Sinai Medical Center, 8631 West Third Street, Los Angeles, CA 90048, USA.
Interventional Cardiology Clinics
|June 6, 2017
Summary
Transcatheter left atrial appendage closure offers a new stroke prevention method for nonvalvular atrial fibrillation patients. This article details techniques and devices like WATCHMAN for successful procedural outcomes.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Nonvalvular atrial fibrillation (NVAF) increases stroke risk.
- Oral anticoagulation is the standard stroke prevention, but carries bleeding risks.
- Transcatheter left atrial appendage (LAA) closure is an emerging alternative for NVAF stroke prevention.
Purpose of the Study:
- To describe the procedural steps for transcatheter LAA closure.
- To provide tips and tricks for successful LAA closure procedures.
- To review four specific LAA closure devices: WATCHMAN, AMPLATZER Cardiac Plug, Coherex WaveCrest, and LARIAT.
Main Methods:
- Detailed description of transcatheter LAA closure techniques.
- Review of procedural steps and best practices.
- Focus on four commercially available LAA closure devices.
Main Results:
- Successful LAA closure is achievable through meticulous procedural technique.
- Understanding device-specific nuances is crucial for optimal outcomes.
- Tips and tricks enhance procedural success and minimize complications.
Conclusions:
- Transcatheter LAA closure is a viable alternative to oral anticoagulation for stroke prevention in NVAF.
- Mastery of procedural techniques and device selection is key to successful LAA closure.
- Continued development in devices and techniques is advancing LAA closure as a standard therapy.
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