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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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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The WATCHMAN Left Atrial Appendage Closure Device 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.

Journal of the Society for Cardiovascular Angiography & Interventions
|August 12, 2024
PubMed
Summary
This summary is machine-generated.

Left atrial appendage closure (LAAC) using endovascular devices is increasingly common for preventing stroke in atrial fibrillation patients. This consensus statement provides updated, evidence-based recommendations for best practices in LAAC procedures.

Keywords:
CHA2DS2-VAScdevice-related thrombusembolic stroke preventionleft atrial appendage closurenon-valvular atrial fibrillationperidevice leak

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Area of Science:

  • Cardiology
  • Medical Devices
  • Interventional Procedures

Background:

  • Surgical left atrial appendage exclusion began in 1949.
  • Transcatheter endovascular LAAC has rapidly advanced, with numerous devices available.
  • LAAC procedures have surged globally since 2015.

Purpose of the Study:

  • To provide updated, evidence-based recommendations for transcatheter LAAC.
  • To focus on contemporary best practices for endovascular LAAC devices.
  • To address advancements in technology, clinical practice, and trial data since 2016.

Main Methods:

  • Development of a consensus statement by the Society for Cardiovascular Angiography & Interventions (SCAI).
  • Review of recent clinical trials and registries.
  • Incorporation of evolved device and imaging technologies.

Main Results:

  • Significant increase in LAAC procedures performed worldwide.
  • Maturation of technical expertise and clinical practice in LAAC.
  • Evolution of transcatheter LAAC devices and imaging modalities.

Conclusions:

  • SCAI has updated its recommendations for transcatheter LAAC.
  • The consensus focuses on evidence-based best practices for endovascular LAAC.
  • This statement guides current practice for atrial fibrillation stroke risk reduction.