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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

84.6K

Prevention and Management of Complications of Left Atrial Appendage Closure Devices

Matthew J Price1

  • 1Division of Cardiovascular Diseases, Scripps Clinic, 10666 North Torrey Pines Road, Maildrop S1056, La Jolla, CA 92037, USA.

Interventional Cardiology Clinics
|June 6, 2017
PubMed

Insights

Left atrial appendage (LAA) occlusion or ligation can prevent stroke in atrial fibrillation patients. This review covers procedural complications, minimization strategies, and long-term management for LAA closure.

Area of Science:

  • Cardiology
  • Medical Devices
  • Stroke Prevention

Background:

  • Atrial fibrillation increases stroke risk via left atrial appendage (LAA) thrombus formation.
  • Transcatheter LAA occlusion/ligation offers a novel stroke prevention strategy for atrial fibrillation.
  • Understanding procedural risks is crucial for adopting LAA closure techniques.

Purpose of the Study:

  • To review complications associated with LAA occlusion and ligation procedures.
  • To outline strategies for minimizing procedural complications.
  • To discuss management of complications for improved long-term outcomes.

Main Methods:

  • Literature review of studies reporting on LAA occlusion and ligation.
  • Analysis of complication types and rates.
  • Synthesis of strategies for complication prevention and management.

Main Results:

  • Various procedural complications are associated with LAA occlusion and ligation.
  • Specific techniques and patient selection can minimize complication rates.
  • Effective management strategies can mitigate the impact of complications on morbidity.

Conclusions:

  • LAA occlusion and ligation are promising for stroke prevention in atrial fibrillation.
  • Minimizing and managing procedural complications are key to successful LAA closure.
  • Further research and standardized protocols will optimize LAA closure outcomes.

Keywords:
Amplatzer cardiac plugAtrial fibrillationLARIATLeft atrial appendagePericardial effusionWATCHMAN device

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