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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Surgical techniques for left atrial appendage exclusion.

Sacha P Salzberg1, Maximilian Y Emmert2, Etem Caliskan3,4

  • 1HeartClinic, Hirslanden Hospital, Witellikerstraße 40, 8032, Zurich, Switzerland. sacha.salzberg@hirslanden.ch.

Herzschrittmachertherapie & Elektrophysiologie
|November 19, 2017
PubMed
Summary
This summary is machine-generated.

Surgical left atrial appendage (LAA) occlusion is evolving for stroke prevention in atrial fibrillation patients. Newer techniques and devices show promise for improving outcomes and offering alternatives to anticoagulation.

Keywords:
Anticoagulation agentsAtrial fibrillationOcclusionStrokeSurgery

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Devices

Background:

  • Atrial fibrillation (AF) prevalence is rising with aging populations, increasing stroke risk.
  • Thromboembolic stroke is a major cause of morbidity and mortality in AF patients.
  • Effective stroke prevention strategies, including left atrial appendage (LAA) occlusion, are crucial.

Purpose of the Study:

  • To review the evolution and current status of surgical LAA occlusion techniques.
  • To assess the safety, feasibility, and outcomes of various LAA occlusion methods.
  • To highlight advancements in surgical LAA treatment and their potential as alternatives to anticoagulation.

Main Methods:

  • Review of existing literature on surgical LAA occlusion techniques.
  • Analysis of data from nonrandomized case series, observational studies, and registries.
  • Evaluation of outcomes associated with different surgical approaches and devices.

Main Results:

  • Surgical LAA occlusion can be performed concomitantly or as a standalone minimally invasive procedure.
  • Historically, surgical techniques have yielded variable and often poor outcomes.
  • Recent advancements, including newer devices like the AtriClip, show improved results in literature.
  • High failure rates with older techniques like simple suture ligation have been noted.

Conclusions:

  • Surgical LAA occlusion is a developing field with potential for stroke risk reduction in AF.
  • Improved techniques and devices are enhancing the safety and efficacy of surgical LAA occlusion.
  • These advancements may offer viable alternatives for patients unable to tolerate oral anticoagulation.