Left Atrial Appendage Closure: An Alternative to Anticoagulation for Stroke Prevention in Patients with Kidney Disease.
Srikanth VallurupalliTanya SharmaSubhi J Al'ArefSubodh R DevabhaktuniGaurav DharPublished in: Kidney360 (2021)
Anticoagulation to reduce thromboembolic stroke risk due to nonvalvular atrial fibrillation in ESKD is associated with increased bleeding. There is an existing debate in ESKD centers around the pros and cons of anticoagulation. We propose percutaneous left atrial appendage occlusion as a third alternative to balance thrombosis and bleeding risks in this high-risk population.
Keyphrases
- atrial fibrillation
- left atrial appendage
- catheter ablation
- oral anticoagulants
- left atrial
- direct oral anticoagulants
- heart failure
- percutaneous coronary intervention
- pulmonary embolism
- minimally invasive
- ultrasound guided
- venous thromboembolism
- climate change
- acute coronary syndrome
- risk assessment
- left ventricular
- mitral valve