Anterior Pathway for Epicardial Left Atrial Appendage Clip Occlusion During Minimally Invasive Atrioventricular Valve Surgery.
Maximilian VondranFrank RoseHendrik TreedeAndreas LieboldNicolas DollYeong-Hoon ChoiAlexander KaminskiPublished in: Innovations (Philadelphia, Pa.) (2022)
The left atrial appendage occlusion (LAAO) by endocardial suture is sometimes inadequate and thrombogenic with uncertain electrical competence. Moreover, epicardial LAAO clip placement through the transverse sinus can be technically challenging during minimally invasive atrioventricular valve surgery. Here, we describe our new endoscopic technique via an anterior access pathway in 5 patients with concomitant atrial fibrillation using an epicardial clip device (AtriClip Pro 1 or AtriClip Pro 2, AtriCure, Mason, OH, USA) for LAAO. The LAAO was successful in all patients without residual perfusion and surgical complications. Epicardial LAAO by clip via the anterior access pathway represents a novel and feasible endoscopic technique for minimally invasive atrioventricular valve surgery.
Keyphrases
- minimally invasive
- left atrial appendage
- catheter ablation
- atrial fibrillation
- endoscopic submucosal dissection
- aortic valve
- mitral valve
- left atrial
- robot assisted
- ultrasound guided
- aortic stenosis
- ejection fraction
- end stage renal disease
- chronic kidney disease
- heart failure
- oral anticoagulants
- newly diagnosed
- transcatheter aortic valve replacement
- direct oral anticoagulants
- coronary artery bypass
- magnetic resonance imaging
- left ventricular
- risk factors
- contrast enhanced
- magnetic resonance
- coronary artery disease
- patient reported outcomes