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Anatomic Considerations for Epicardial and Endocardial Left Atrial Appendage Closure.
- Source :
-
Cardiac electrophysiology clinics [Card Electrophysiol Clin] 2020 Mar; Vol. 12 (1), pp. 39-45. Date of Electronic Publication: 2019 Dec 25. - Publication Year :
- 2020
-
Abstract
- Left atrial appendage closure is an increasingly used means of achieving thromboprophylaxis in atrial fibrillation, particularly in patients with contraindications to anticoagulation. Left atrial appendage anatomy is highly variable, and preprocedural imaging is critical to choosing the correct device and approach for left atrial appendage closure. This article reviews the common endocardial and epicardial closure systems, including anatomic considerations, advantages and disadvantages, as well as complications to be avoided.<br />Competing Interests: Disclosure Dr A. Voskoboinik has received fellowship support from Boston Scientific and Abbott Medical. Dr R.J. Lee is a consultant and equity holder in SentreHEART/AtriCure.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Cardiac Imaging Techniques
Humans
Therapeutic Occlusion instrumentation
Therapeutic Occlusion methods
Atrial Appendage anatomy & histology
Atrial Appendage diagnostic imaging
Atrial Appendage pathology
Atrial Appendage surgery
Atrial Fibrillation diagnostic imaging
Atrial Fibrillation pathology
Atrial Fibrillation surgery
Cardiac Surgical Procedures instrumentation
Cardiac Surgical Procedures methods
Endocardium anatomy & histology
Endocardium diagnostic imaging
Endocardium surgery
Pericardium anatomy & histology
Pericardium diagnostic imaging
Pericardium surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1877-9190
- Volume :
- 12
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Cardiac electrophysiology clinics
- Publication Type :
- Academic Journal
- Accession number :
- 32067646
- Full Text :
- https://doi.org/10.1016/j.ccep.2019.11.001