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Practical guide on left atrial appendage closure for the non-implanting physician: an international consensus paper
T. Potpara, M. Grygier, KG. Häusler, JE. Nielsen-Kudsk, S. Berti, S. Genovesi, E. Marijon, S. Boveda, A. Tzikas, G. Boriani, LVA. Boersma, C. Tondo, T. De Potter, GYH. Lip, RB. Schnabel, R. Bauersachs, M. Senzolo, C. Basile, S. Bianchi, P....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
Grantová podpora
Boston Scientific
NLK
PubMed Central
od 2008
Open Access Digital Library
od 1999-01-01
Medline Complete (EBSCOhost)
od 1999-01-01
Oxford Journals Open Access Collection
od 1999-01-01
PubMed
38291925
DOI
10.1093/europace/euae035
Knihovny.cz E-zdroje
- MeSH
- antikoagulancia škodlivé účinky MeSH
- cévní mozková příhoda * prevence a kontrola komplikace MeSH
- dospělí MeSH
- fibrilace síní * komplikace diagnóza chirurgie MeSH
- konsensus MeSH
- krvácení chemicky indukované prevence a kontrola MeSH
- lékaři * MeSH
- lidé MeSH
- síňové ouško * chirurgie MeSH
- tromboembolie * etiologie prevence a kontrola MeSH
- uzávěr ouška levé síně MeSH
- vitamin K MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
A significant proportion of patients who suffer from atrial fibrillation (AF) and are in need of thromboembolic protection are not treated with oral anticoagulation or discontinue this treatment shortly after its initiation. This undertreatment has not improved sufficiently despite the availability of direct oral anticoagulants which are associated with less major bleeding than vitamin K antagonists. Multiple reasons account for this, including bleeding events or ischaemic strokes whilst on anticoagulation, a serious risk of bleeding events, poor treatment compliance despite best educational attempts, or aversion to drug therapy. An alternative interventional therapy, which is not associated with long-term bleeding and is as effective as vitamin K anticoagulation, was introduced over 20 years ago. Because of significant improvements in procedural safety over the years, left atrial appendage closure, predominantly achieved using a catheter-based, device implantation approach, is increasingly favoured for the prevention of thromboembolic events in patients who cannot achieve effective anticoagulation. This management strategy is well known to the interventional cardiologist/electrophysiologist but is not more widely appreciated within cardiology or internal medicine. This article introduces the devices and briefly explains the implantation technique. The indications and device follow-up are more comprehensively described. Almost all physicians who care for adult patients will have many with AF. This practical guide, written within guideline/guidance boundaries, is aimed at those non-implanting physicians who may need to refer patients for consideration of this new therapy, which is becoming increasingly popular.
1st Department of Cardiology Poznan University School of Medical Sciences Poznan Poland
Berlin Institute of Health Center for Regenerative Therapies Berlin Germany
Cardioangiologisches Centrum Bethanien Agaplesion Markus Krankenhaus Frankfurt Germany
Cardioangiology Center Bethanien CCB Frankfurt Germany
Cardiologie Clinique Pasteur Brussels University VUB Brussels Belgium
Cardiology Heart Rhythm Management Department Clinique Pasteur Toulouse France
Cardiovascular Center Aalst OLV Hospital Aalst Belgium
Center for Vascular Research Munich Germany
Department of Cardiology Aarhus University Hospital Aarhus Denmark
Department of Cardiology University Heart and Vascular Centre Hamburg Hamburg Germany
Department of Neurology Universitätsklinikum Würzburg Würzburg Germany
Department of Surgery Oncology and Gastroenterology University Hospital of Padua Padua Italy
Deutsches Herzzentrum der Charité Campus Virchow Klinikum Berlin Germany
Division of Cardiology European Georges Pompidou Hospital AP HP Paris France
Division of Nephrology Miull General Hospital Acquaviva delle Fonti Italy
EuDial Working Group of the European Renal Association Acquaviva delle Fonti Italy
German Centre for Cardiovascular Research Partner Site Hamburg Kiel Lübeck Hamburg Germany
German Heart Center Charite Campus Mitte Berlin Germany
Ippokrateio Hospital of Thessaloniki Aristotle University of Thessaloniki Thessaloniki Greece
Istituto Auxologico Italiano IRCCS Milan Italy
Leicester NIHR BRU University of Leicester Glenfield Hospital Leicester UK
Medical Faculty University of Belgrade Belgrade Serbia
Nephrology and Dialysis Unit ASL Toscana NordOvest Livorno Italy
Ospedale del Cuore Fondazione CNR Regione Toscana G Monasterio Pisa Italy
School of Medicine and Surgery University of Milano Bicocca Nephrology Clinic Monza Italy
Structural and Congenital Heart Disease European Interbalkan Medical Centre Thessaloniki Greece
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