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Left Atrial Appendage Management with the Watchman Device during Hybrid Ablation of Atrial Fibrillation
المؤلفون المشاركون
Vroomen, Mindy
Maesen, Bart
Luermans, Justin G.
Crijns, Harry J.
Pison, Laurent
Maessen, Jos G.
La Meir, Mark
المصدر
Journal of Interventional Cardiology
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-06-26
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
In the recent ESC/EACTS guidelines, left atrial appendage (LAA) occlusion or exclusion in patients undergoing (thoracoscopic) atrial fibrillation (AF) ablation surgery is recommended.
The Watchman device (WD, Boston Scientific, Minnesota) has proved to reduce the risk of thromboembolic events by closing of the LAA, yet no data exist on WD implantation during surgical AF ablation.
The objective is to determine if WD implantation is safe and feasible in a hybrid AF ablation setting (i.e., combination of thoracoscopic epicardial surgical and endocardial catheter ablation) and could become subject of further testing to serve as a bail-out in cases in which surgical LAA occlusion methods cannot be applied, due to, for example, severe adhesions.
Methods.
In this prospective, single center, pilot study, 10 consecutive patients undergoing a hybrid ablation qualifying for LAA exclusion (CHA2DS2-VASc ≥ 1) were included.
At the end of the hybrid ablation, the LAA was occluded endocardially using the WD.
The feasibility endpoint was successful implantation.
The safety endpoint concerned major complications.
Results.
One patient was excluded and replaced because the LAA was insufficiently visible on transesophageal echocardiography.
In 10/11 patients, device delivery was successful (mean time: 35 minutes).
No major complications occurred.
Transesophageal echocardiography after 6 weeks and 6 months showed successful occlusion of the LAA without significant peridevice flow.
Conclusion.
Implantation of the WD seems to be feasible and safe in the setting of hybrid AF ablation and could be an alternative to epicardial occlusion in surgical AF ablation procedures.
Larger studies are required to confirm these findings.
This trial is registered with NCT02471131.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Vroomen, Mindy& Maesen, Bart& Luermans, Justin G.& Crijns, Harry J.& Maessen, Jos G.& La Meir, Mark…[et al.]. 2019. Left Atrial Appendage Management with the Watchman Device during Hybrid Ablation of Atrial Fibrillation. Journal of Interventional Cardiology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1181232
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Vroomen, Mindy…[et al.]. Left Atrial Appendage Management with the Watchman Device during Hybrid Ablation of Atrial Fibrillation. Journal of Interventional Cardiology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1181232
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Vroomen, Mindy& Maesen, Bart& Luermans, Justin G.& Crijns, Harry J.& Maessen, Jos G.& La Meir, Mark…[et al.]. Left Atrial Appendage Management with the Watchman Device during Hybrid Ablation of Atrial Fibrillation. Journal of Interventional Cardiology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1181232
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1181232
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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