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.

Scientific Reports
|April 14, 2018
PubMed

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.

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