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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Updated: Aug 5, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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SCAI/HRS Expert Consensus Statement on Transcatheter Left Atrial Appendage Closure.

Jacqueline Saw1, David R Holmes2, João L Cavalcante3

  • 1Division of Cardiology, Vancouver General Hospital, University of British Columbia, Canada.

JACC. Cardiovascular Interventions
|March 29, 2023
PubMed
Summary
This summary is machine-generated.

Transcatheter left atrial appendage closure (LAAC) is increasingly used to prevent stroke in atrial fibrillation patients. This updated consensus provides evidence-based recommendations for contemporary endovascular device practices.

Keywords:
CHA(2)DS(2)-VAScdevice-related thrombusembolic stroke preventionleft atrial appendage closurenon-valvular atrial fibrillationperidevice leak

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Area of Science:

  • Cardiovascular medicine
  • Interventional cardiology

Background:

  • Surgical left atrial appendage exclusion dates to 1949.
  • Transcatheter endovascular left atrial appendage closure (LAAC) has rapidly advanced over two decades.
  • LAAC procedures have surged globally since 2015.

Framework:

  • Previous Society for Cardiovascular Angiography & Interventions (SCAI) statements were issued in 2015 and 2016.
  • Updated recommendations are based on recent clinical trials, registries, and technological advancements.
  • Focus on contemporary, evidence-based best practices for endovascular LAAC devices.

Implementation:

  • Requires institutional and operator expertise.
  • Evolving device and imaging technologies are crucial for successful LAAC.
  • Standardized protocols ensure patient safety and procedural efficacy.

Implications:

  • Improved thromboembolic risk reduction in atrial fibrillation.
  • Enhanced patient outcomes through minimally invasive procedures.
  • Guidance for healthcare providers on optimal LAAC strategies.