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A left atrial appendage closure combined procedure review: Past, present, and future perspectives
Author(s) -
Gasperetti Alessio,
Fassini Gaetano,
Tundo Fabrizio,
Zucchetti Martina,
Dessanai Mariantonietta,
Tondo Claudio
Publication year - 2019
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.13957
Subject(s) - medicine , atrial fibrillation , stroke (engine) , antithrombotic , catheter ablation , medline , intensive care medicine , concomitant , closure (psychology) , cardiology , mechanical engineering , market economy , political science , law , economics , engineering
Background and Objective Atrial fibrillation (AF) represents the most common cardiac arrhythmia worldwide; it poses a great burden in terms of quality of life reduction and yearly stroke risk. Left atrial appendage closure (LAAC) is a stroke prevention strategy that has been proven a viable alternative to antithrombotic regimens in nonvalvular AF patients. LAAC can be performed as a standalone procedure or alongside a concomitant AF transcatheter ablation, in a procedure known as “Combined procedure”. Aim of this study is to summarize the scientific evidence backing this combined strategy. Methods We reviewed the whole Medline indexed combined procedure literature, to summarize all the combined procedure study data. Results Nine published studies regarding combined procedure were found. Data, aims, and scientific rationales were reported and commented. Conclusion LAA combined procedure appears to be a safe and effective procedure; a careful patient selection is necessary to maximize its benefit.