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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

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Interventional Treatment for Stroke Prevention

Carola Gianni1, Domenico G Della Rocca1, Andrea Natale1,2,3,4

  • 1Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.

Korean Circulation Journal
|December 30, 2020
PubMed

Insights

Left atrial appendage closure with devices prevents strokes in high-risk patients. This review covers practical aspects of five transcatheter occlusion devices: Watchman, Amulet, WaveCrest, LAmbre, and Lariat.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Left atrial appendage (LAA) occlusion is an alternative to oral anticoagulation for stroke prevention.
  • Patients with high stroke risk or contraindications to anticoagulation are candidates for LAA closure.

Purpose of the Study:

  • To discuss the practical aspects of interventional LAA occlusion.
  • To review five commonly used LAA occlusion devices.

Main Methods:

  • Review of available percutaneous transcatheter occlusion devices.
  • Discussion of practical considerations for device implantation.

Main Results:

  • Five LAA occlusion devices are available: Watchman, Amulet, WaveCrest, LAmbre, and Lariat.
  • Each device has unique practical aspects relevant to implantation and patient selection.

Conclusions:

  • Percutaneous LAA occlusion offers a viable stroke prevention strategy.
  • Understanding the practical nuances of different devices is crucial for successful implementation.

Keywords:
Left atrial appendage occlusionStroke

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