Journal article
Who Should Be Referred for Left Atrial Appendage Occlusion Therapy?
Current treatment options in cardiovascular medicine, Vol.19(6), pp.42-42
06/2017
DOI: 10.1007/s11936-017-0540-8
PMID: 28466118
Abstract
Atrial fibrillation (AF) is the most common cardiac arrhythmia affecting approximately 7 million individuals in USA. It is one of the most significant arrhythmias, which accounts for a majority of embolic strokes, especially in elderly individuals. Although oral anti-coagulation is beneficial in lowering the risk of stroke, 1 in 10 patients have a contra-indication to warfarin therapy. Among patients who do tolerate either warfarin or novel oral anticoagulant (NOAC), major or recurrent bleeding, intracranial bleeds, etc. often lead to interruption of anti-coagulation. Previous studies have reported that >90% of cardioemboli in non-valvular atrial fibrillation (NVAF) originate in the left atrial appendage. Left atrial appendage occlusion (LAAO) is currently covered by the Centers for Medicare & Medicaid Services (CMS) as an alternative for stroke prevention in patients with an elevated stroke risk (CHADS2 ≥2 or CHA2DS2-VASc score ≥3) who have appropriate rational for avoiding long-term oral anticoagulation following a shared-decision making process. In this review, we discuss the currently available LAAO devices and more importantly, appropriate patient selection for this strategy.
Details
- Title: Subtitle
- Who Should Be Referred for Left Atrial Appendage Occlusion Therapy?
- Creators
- Sidakpal S Panaich - Department of Cardiovascular Diseases, Mayo Clinic, 200 1st Street, Rochester, MN, 55905, USADavid R Holmes Jr - Department of Cardiovascular Diseases, Mayo Clinic, 200 1st Street, Rochester, MN, 55905, USA. holmes.david@mayo.edu
- Resource Type
- Journal article
- Publication Details
- Current treatment options in cardiovascular medicine, Vol.19(6), pp.42-42
- DOI
- 10.1007/s11936-017-0540-8
- PMID
- 28466118
- ISSN
- 1092-8464
- eISSN
- 1534-3189
- Language
- English
- Date published
- 06/2017
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094578902771
Metrics
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