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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Computed Tomography for Left Atrial Appendage Occlusion Case Planning.

Marvin H Eng1, Dee Dee Wang1

  • 1Division of Cardiology, Center for Structural Heart Disease, Henry Ford Hospital, Detroit, MI 48236, USA.

Interventional Cardiology Clinics
|July 10, 2018
PubMed
Summary

Computed tomography (CT) aids in planning endovascular left atrial appendage (LAA) occlusion for preventing blood clots in atrial fibrillation patients. CT improves device fitting and reduces procedural complications, offering a safer alternative to anticoagulation.

Keywords:
Atrial fibrillationComputed tomographyLeft atrial appendageThromboprophylaxis

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Area of Science:

  • Cardiology
  • Interventional Radiology
  • Medical Imaging

Background:

  • Atrial fibrillation poses a high risk of thromboembolism.
  • Effective anticoagulation is not suitable for all patients.
  • Left atrial appendage (LAA) occlusion is an alternative thromboprophylaxis strategy.

Purpose of the Study:

  • To review the evidence for computed tomography (CT) in endovascular LAA occlusion.
  • To assess the clinical impact of CT on LAA occlusion procedures.

Main Methods:

  • Utilizing CT for accurate LAA dimensions and morphology assessment.
  • Employing CT to predict optimal radiograph gantry angles.
  • Creating physical models from CT data for ex vivo device and catheter fitting.

Main Results:

  • CT enables precise pre-procedural planning for LAA occlusion.
  • CT facilitates improved device and catheter selection and fitting.
  • The use of CT is associated with enhanced procedural accuracy.

Conclusions:

  • Computed tomography is crucial for optimizing endovascular LAA occlusion.
  • CT-based planning can mitigate procedural complications.
  • CT enhances the safety and efficacy of LAA occlusion as an anticoagulation alternative.