Percutaneous left atrial appendage occlusion in AF patients with left atrial appendage thrombus: feasibility, safety and clinical efficacy

Feasibility, safety and efficacy of percutaneous closure for thromboembolic prevention in AF patients with left atrial appendage (LAA) thrombus (Eurointervention 2018 Jan 20)

27 Marzo Mar 2018 7 months ago
  • Fassini G, Maltagliati A

The aim of this multicentre study was to investigate the feasibility, safety and efficacy of percutaneous closure for prevention of thromboembolic events in patients with atrial fibrillation (AF) and left atrial appendage (LAA) thrombus.

According to the Authors, percutaneous closure in selected patients with distal LAA thrombus appears to be feasible and safe, and is associated with high procedural success and a favourable outcome for the prevention of AF-related thromboembolism. Special implant techniques avoiding mechanical mobilisation of the thrombotic mass and the liberal use of cerebral embolic protection devices are recommended.

Reference

  • Tarantini G, D'Amico G, Latib A, Montorfano M, Mazzone P, Fassini G, Maltagliati A, Ronco F, Saccà S, Cruz-Gonzalez I, Ibrahim R, Freixa X. Percutaneous lefta atriale appandage occlusion in patients with atrial fibrillation and left atriale appendage thrombus: feasibility,safety and clinical efficay. Eurointervention 2018 Jan 20;13(13):1595-1602. Go to PubMed