Risk stratification of patients with left atrial appendage thrombus prior to catheter ablation of atrial fibrillation: An approach towards an individualized use of transesophageal echocardiography.
Melanie A GunawardeneJannis DickowBenjamin N SchaefferRuken Ö AkbulakMarc D LemoineJana M NührichMario JularicChristoph SinningChristian EickholtChristian MeyerJulia M MoserBoris A HoffmannStephan WillemsPublished in: Journal of cardiovascular electrophysiology (2017)
The incidence of LAAT in patients scheduled for CA-AF is low. Therefore, periprocedural OAC strategies recommended by current guidelines seem feasible. Preprocedural TEE may be dispensed in patients with a CHA2 DS2 -VASc score ≤1. However, a CHA2 DS2 -VASc score ≥2, reduced LVEF, HCM, or history of nonparoxysmal AF are independently associated with an increased risk for LAAT.
Keyphrases
- atrial fibrillation
- left atrial appendage
- catheter ablation
- left atrial
- direct oral anticoagulants
- oral anticoagulants
- percutaneous coronary intervention
- heart failure
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- computed tomography
- prognostic factors
- left ventricular
- risk factors
- pulmonary hypertension
- patient reported