Single-operator left atrial appendage occlusion utilizing conscious sedation, transoesophageal echocardiography, lack of outpatient pre-imaging, and same-day expedited discharge: a feasibility case series.
Hafez GolzarianBenjamin A PasleySidra R ShahArielle M ThielGerri L HempflingMichael OttoTodd OttoSandeep M PatelPublished in: European heart journal. Case reports (2023)
The SOLO-CLOSE series is the first ever documented WATCHMAN strategy that utilizes a single-operator, TEE-guided, nurse-driven conscious sedation protocol that defers pre-screening imaging and allows for same-day discharge. The versatility of this technique allows proceduralists to comfortably achieve successful LAAO despite a wide range of risk profiles. This single-operator technique has potential to become a widely accepted universal approach for non-pharmacological cardioembolic stroke prophylaxis due to its efficacy, safety, simplicity, and presumable cost-effectiveness.
Keyphrases
- left atrial appendage
- atrial fibrillation
- high resolution
- catheter ablation
- randomized controlled trial
- primary care
- left ventricular
- computed tomography
- mechanical ventilation
- heart failure
- fluorescence imaging
- mass spectrometry
- intensive care unit
- human health
- photodynamic therapy
- acute respiratory distress syndrome
- blood brain barrier