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Percutaneous Left Atrial Appendage Occlusion: A View From the UK
1Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, UK.
Arrhythmia & Electrophysiology Review
|September 28, 2020
Summary
Atrial fibrillation (AF) patients face stroke risks. Left atrial appendage occlusion offers an alternative to blood thinners, with growing demand and evolving UK service delivery.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Atrial fibrillation (AF) increases thromboembolic event risk.
- Oral anticoagulation is standard but has limitations.
- Percutaneous left atrial appendage occlusion (LAAO) is an effective alternative.
Purpose of the Study:
- To describe the use of LAAO in the UK.
- To discuss challenges in LAAO service delivery.
Main Methods:
- Review of LAAO procedures in the UK.
- Analysis of service commissioning and delivery changes.
Main Results:
- Population data indicate a clear demand for LAAO.
- Significant changes in LAAO service delivery have occurred in the UK over the past decade.
Conclusions:
- LAAO is an established alternative for AF patients.
- Ongoing challenges in LAAO implementation and service delivery require attention.
