Journal article
Case-Based Discussion Regarding Challenges in Patient Selection and Procedural Planning in Left Atrial Appendage Occlusion
Mayo Clinic proceedings, Vol.93(5), pp.630-638
05/2018
DOI: 10.1016/j.mayocp.2018.03.015
PMID: 29728202
Abstract
Atrial fibrillation (AF) accounts for most embolic strokes, especially in elderly individuals. Although anticoagulation is known to reduce the risk of embolic stroke, a significant proportion of patients have relative or absolute contraindications to anticoagulation. The left atrial appendage has been implicated as the major source of emboli in more than 90% of ischemic strokes in nonvalvular AF. Left atrial appendage occlusion offers an alternative for stroke prevention in patients with an elevated stroke risk (CHADS
score ≥2 or CHA
DS
-VASc score ≥3) who have a rationale for avoiding long-term oral anticoagulation after a shared decision-making process. However, there remain significant challenges in left atrial appendage occlusion therapy related to patient selection, the procedure itself, and postprocedural patient management decisions. In this review article, we discuss some of these challenges in a case discussion-based approach.
Details
- Title: Subtitle
- Case-Based Discussion Regarding Challenges in Patient Selection and Procedural Planning in Left Atrial Appendage Occlusion
- Creators
- Sidakpal S Panaich - Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MNThomas Munger - Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MNPaul Friedman - Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MNCharanjit S Rihal - Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MNDavid R Holmes Jr - Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN. Electronic address: holmes.david@mayo.edu
- Resource Type
- Journal article
- Publication Details
- Mayo Clinic proceedings, Vol.93(5), pp.630-638
- DOI
- 10.1016/j.mayocp.2018.03.015
- PMID
- 29728202
- ISSN
- 0025-6196
- eISSN
- 1942-5546
- Language
- English
- Date published
- 05/2018
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094327202771
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