Heart Team for Left Atrial Appendage Occlusion: A Patient-Tailored Approach.
Stefano BranzoliFabrizio GuarraciniMassimiliano MariniGiovanni D'OnghiaDaniele PenzoSilvio PifferDimitri PeterlanaAngelo GraffignaMichele Massimo GuliziaSandro GelsominoMark La MeirPublished in: Journal of clinical medicine (2021)
A heart team approach may improve the decision-making process for stroke and hemorrhage prevention, where LAAO is a therapeutic option. Percutaneous and thoracoscopic appendage occlusion seem to be comparably safe and effective. An epicardial LAAO could be advisable in patients for whom the risk of bleeding is estimated as being too high for post-procedural antiplatelet therapy.
Keyphrases
- atrial fibrillation
- left atrial appendage
- antiplatelet therapy
- percutaneous coronary intervention
- end stage renal disease
- decision making
- heart failure
- acute coronary syndrome
- palliative care
- newly diagnosed
- ejection fraction
- chronic kidney disease
- catheter ablation
- prognostic factors
- peritoneal dialysis
- case report
- quality improvement
- ultrasound guided
- smoking cessation
- cerebral ischemia