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Updated: Feb 14, 2026

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
Left Atrial Appendage Exclusion Using the AtriClip Device: A Case Series
Sarah Page1, Jane Hallam1, Neelprada Pradhan1
1Department of Cardiothoracic Surgery, St Vincent's Hospital, Melbourne, Vic, Australia.
Insights
Left atrial appendage (LAA) exclusion using the AtriClip device during cardiac surgery is safe and effective. This procedure achieved a 100% success rate with no device-related complications in a recent study.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Electrophysiology
Background:
- Atrial fibrillation (AF) impacts 1.5-2% of the population, significantly increasing stroke risk.
- The left atrial appendage (LAA) is a primary source of embolic strokes in non-valvular AF patients.
- Effective LAA management is crucial for stroke prevention in AF patients.
Purpose of the Study:
- To evaluate the safety and efficacy of LAA exclusion using the AtriClip device.
- To assess the feasibility of concurrent AtriClip device insertion during open cardiac surgery.
- To determine the long-term stability and complications associated with LAA exclusion.
Main Methods:
- Retrospective review of 20 patients undergoing open cardiac surgery with concurrent AtriClip device insertion (July 2013 - February 2015).
- Analysis of clinical notes and echocardiographic findings to assess device placement and patient outcomes.
- Indications for LAA exclusion included atrial arrhythmia, left ventricular dilatation, or transient ischemic attacks.
Main Results:
- Successful AtriClip device placement in all 20 participants (100% success rate).
- No device-related adverse events or perioperative mortality were observed.
- Three late deaths occurred due to unrelated comorbidities; no late device-related complications were identified on follow-up.
Conclusions:
- LAA exclusion with the AtriClip device during open cardiac surgery is a safe and effective procedure.
- The AtriClip device demonstrates a 100% success rate and stable outcomes over time.
- This approach offers a reliable method for LAA exclusion, potentially reducing stroke risk in AF patients.
Background:
Atrial fibrillation (AF) affects 1.5-2% of the population and is associated with a five-fold increased lifetime risk of stroke [1]. The left atrial appendage (LAA) is the source of embolic strokes in up to 90% of patients with non-valvular AF with clots in the left atrium [2].
Methods:
We reviewed the clinical notes and echocardiographic findings of 20 patients who underwent open cardiac surgery in which concurrent AtriClip (Atricure Inc, Westchester, OH, USA) device insertion was attempted at our institution from July 2013 to February 2015. This was to examine the safety and efficacy of LAA exclusion with clip devices during open cardiac surgery. Indications for LAA exclusion included a history or suspicion of atrial arrhythmia, left ventricular dilatation, or a history of transient ischaemic attacks.
Results:
All 20 of the 20 participants had successful placement of the clip device (100% success rate). There were no adverse events related to the device and no perioperative mortality. There were three late deaths due to chronic obstructive pulmonary disease (COPD), leukaemia, and refractory congestive cardiac failure. No late device related complications were found on follow-up imaging in the remaining patients.
Conclusions:
The results of our study demonstrate the LAA exclusion during open cardiac surgery with the AtriClip device is safe, has a 100% success rate, and appears to be stable over time.
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