Left atrial appendage closure with device for atrial fibrillation

Authors

  • Benedetto Massimo Department of Cardiology, Civico Hospital, Palermo, Italy
  • Fazio Giovanni Department of Cardiology, Internal medicine, Angiology and long term care, Triolo Zancla Hospital, Italy

Keywords:

atrial fibrillation, cardioembolic stroke, left atrial appendage, watchman, amulet, lobe, lid, transesophageal echocardiogram, acunav

Abstract

Atrial fibrillation is the most common observed arrhythmia in clinical practice and it represents an
important risk factor for cardio-embolism and cardio-embolic stroke. Atrial fibrillation patients have a
5 fold increase in stroke events. In non-valvular atrial fibrillation over 90% of thrombus formation is
within the left atrial appendage and therefore prevention of embolization to systemic circulation and in
particular to cerebral circulation goes through a therapy that has the left atrial appendage as the main
target. Several anatomo-pathological studies and observations during open heart surgery confirm these
data and give a rational basis to this point of view.

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Published

2021-08-25

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Section

Articles