Choosing Appropriate Candidates for Left Atrial Appendage Occlusion
Atrial fibrillation (AF) is one the most prevalent arrhythmias globally and is associated with a significantly higher risk of morbidity and mortality, including an up to five-fold increase in risk of stroke. While oral anticoagulation therapy remains the standard approach for stroke prevention in no...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2023-12-01
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| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/24/12/10.31083/j.rcm2412360 |
| _version_ | 1797365281436205056 |
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| author | Chengxiang Zhang Hao Lu Yuansong Zhu |
| author_facet | Chengxiang Zhang Hao Lu Yuansong Zhu |
| author_sort | Chengxiang Zhang |
| collection | DOAJ |
| description | Atrial fibrillation (AF) is one the most prevalent arrhythmias globally and is associated with a significantly higher risk of morbidity and mortality, including an up to five-fold increase in risk of stroke. While oral anticoagulation therapy remains the standard approach for stroke prevention in nonvalvular AF, left atrial appendage occlusion (LAAO) has emerged as a viable alternative for patients who are intolerant to long-term oral anticoagulation therapy. However, selecting appropriate candidates for LAAO requires a comprehensive evaluation that considers various clinical factors, although this presents a challenge in clinical practice. This review aims to provide an overview of the current recommendations for patient selection in LAAO procedures and the key factors that need to be considered both before and after the procedure, as well as the ongoing advancements in this field that may facilitate the selection of patients for LAAO. |
| first_indexed | 2024-03-08T16:46:53Z |
| format | Article |
| id | doaj.art-3bf8cf782df74d5a82aac35e078fa592 |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-03-08T16:46:53Z |
| publishDate | 2023-12-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-3bf8cf782df74d5a82aac35e078fa5922024-01-05T09:04:30ZengIMR PressReviews in Cardiovascular Medicine1530-65502023-12-01241236010.31083/j.rcm2412360S1530-6550(23)01126-2Choosing Appropriate Candidates for Left Atrial Appendage OcclusionChengxiang Zhang0Hao Lu1Yuansong Zhu2Department of General Medicine, The First Affiliated Hospital of Chongqing Medical University, 400016 Chongqing, ChinaDepartment of General Medicine, The First Affiliated Hospital of Chongqing Medical University, 400016 Chongqing, ChinaDepartment of Cardiology, The First Affiliated Hospital of Chongqing Medical University, 400016 Chongqing, ChinaAtrial fibrillation (AF) is one the most prevalent arrhythmias globally and is associated with a significantly higher risk of morbidity and mortality, including an up to five-fold increase in risk of stroke. While oral anticoagulation therapy remains the standard approach for stroke prevention in nonvalvular AF, left atrial appendage occlusion (LAAO) has emerged as a viable alternative for patients who are intolerant to long-term oral anticoagulation therapy. However, selecting appropriate candidates for LAAO requires a comprehensive evaluation that considers various clinical factors, although this presents a challenge in clinical practice. This review aims to provide an overview of the current recommendations for patient selection in LAAO procedures and the key factors that need to be considered both before and after the procedure, as well as the ongoing advancements in this field that may facilitate the selection of patients for LAAO.https://www.imrpress.com/journal/RCM/24/12/10.31083/j.rcm2412360atrial fibrillationafleft atrial appendagelaaleft atrial appendage occlusionleft atrial appendage closurestroke |
| spellingShingle | Chengxiang Zhang Hao Lu Yuansong Zhu Choosing Appropriate Candidates for Left Atrial Appendage Occlusion Reviews in Cardiovascular Medicine atrial fibrillation af left atrial appendage laa left atrial appendage occlusion left atrial appendage closure stroke |
| title | Choosing Appropriate Candidates for Left Atrial Appendage Occlusion |
| title_full | Choosing Appropriate Candidates for Left Atrial Appendage Occlusion |
| title_fullStr | Choosing Appropriate Candidates for Left Atrial Appendage Occlusion |
| title_full_unstemmed | Choosing Appropriate Candidates for Left Atrial Appendage Occlusion |
| title_short | Choosing Appropriate Candidates for Left Atrial Appendage Occlusion |
| title_sort | choosing appropriate candidates for left atrial appendage occlusion |
| topic | atrial fibrillation af left atrial appendage laa left atrial appendage occlusion left atrial appendage closure stroke |
| url | https://www.imrpress.com/journal/RCM/24/12/10.31083/j.rcm2412360 |
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