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Updated: Feb 12, 2026

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
Percutaneous Closure of Left Atrial Appendage significantly affects Lipidome Metabolism
G Yücel1,2, M Behnes3, C Barth1
1First Department of Medicine, Faculty of Medicine, University Medical Centre Mannheim (UMM), University of Heidelberg, Mannheim, Germany.
Insights
Left atrial appendage occlusion (LAAC) devices, used for stroke prevention in atrial fibrillation (AF) patients, may alter lipid metabolism. This study found significant changes in 34 lipids six months post-LAAC implantation.
Area of Science:
- Cardiology
- Metabolomics
- Biochemistry
Background:
- Non-valvular atrial fibrillation (AF) patients at high risk for oral anticoagulation are candidates for left atrial appendage occlusion (LAAC) devices to prevent cardio-embolic stroke.
- The impact of LAAC on lipid metabolism remains unexplored.
Purpose of the Study:
- To investigate the potential influence of percutaneous LAAC on lipid metabolism in patients with non-valvular AF.
- To identify specific lipid alterations following LAAC implantation.
Main Methods:
- A cohort of patients with successful LAAC implantation was enrolled.
- Targeted metabolomics using electrospray ionization liquid chromatography-mass spectrometry (ESI-LC-MS/MS) was performed on blood samples collected at baseline and 6 months post-procedure.
- Multivariable logistic regression models were used to adjust for potential confounding factors.
Main Results:
- A total of 34 lipids showed significant changes from baseline to 6-month follow-up after LAAC.
- These alterations persisted after multivariable adjustment for factors including gender, age, diabetes, BMI, LVEF, creatinine, and NT-proBNP.
- Subgroup analyses indicated potential confounding influences from various patient characteristics.
Conclusions:
- Percutaneous LAAC may significantly affect lipid metabolism.
- These metabolic changes could potentially influence pro-atherogenic and cardio-toxic effects, warranting further investigation.
Abstract:
Patients with non-valvular atrial fibrillation (AF) and a high risk for oral anticoagulation can be treated by percutaneous implantation of left atrial appendage occlusion devices (LAAC) to reduce the risk of cardio-embolic stroke. This study evaluates whether LAAC may influence lipid metabolism, which has never been investigated before. Patients with successful LAAC were included consecutively. Venous peripheral blood samples of patients were collected immediately before (T0, baseline) and 6 months after (T1, mid-term) LAAC. A targeted metabolomics approach based on electrospray ionization liquid chromatography-mass spectrometry (ESI-LC-MS/MS) and MS/MS measurements was performed. A total of 34 lipids revealed a significant change from baseline to mid-term follow-up after successful LAAC. Subgroup analysis revealed confounding influence by gender, age, diabetes mellitus type II, body mass index, left ventricular ejection fraction, creatinine and NT-proBNP. After multivariable adjustment within logistic regression models, these 34 lipids were still significantly altered after LAAC. Successful percutaneous LAAC may affect lipid metabolism and thereby may potentially affect pro-atherogenic and cardio-toxic effects.
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