共 57 条
Percutaneous Left Atrial Appendage Suture Ligation Using the LARIAT Device in Patients With Atrial Fibrillation Initial Clinical Experience
被引:278
作者:

Bartus, Krzysztof
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h-index: 0
机构:
Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Han, Frederick T.
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h-index: 0
机构:
Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Bednarek, Jacek
论文数: 0 引用数: 0
h-index: 0
机构:
Jagiellonian Univ, John Paul II Hosp Krakow, Dept Electrocardiol, Krakow, Poland Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Myc, Jacek
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h-index: 0
机构:
Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Kapelak, Boguslaw
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h-index: 0
机构:
Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Sadowski, Jerzy
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h-index: 0
机构:
Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Lelakowski, Jacek
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h-index: 0
机构:
Jagiellonian Univ, John Paul II Hosp Krakow, Dept Electrocardiol, Krakow, Poland Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Bartus, Stanislaw
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h-index: 0
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Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Yakubov, Steven J.
论文数: 0 引用数: 0
h-index: 0
机构:
Riverside Methodist Hosp, Columbus, OH 43214 USA Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland

Lee, Randall J.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Cardiovasc Res Inst, San Francisco, CA 94143 USA
Univ Calif San Francisco, Inst Regenerat Med, San Francisco, CA 94143 USA Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland
机构:
[1] Jagiellonian Univ, John Paul II Hosp Krakow, Dept Cardiovasc Surg & Transplantol, Krakow, Poland
[2] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA
[3] Jagiellonian Univ, John Paul II Hosp Krakow, Dept Electrocardiol, Krakow, Poland
[4] Riverside Methodist Hosp, Columbus, OH 43214 USA
[5] Univ Calif San Francisco, Cardiovasc Res Inst, San Francisco, CA 94143 USA
[6] Univ Calif San Francisco, Inst Regenerat Med, San Francisco, CA 94143 USA
关键词:
atrial fibrillation;
left atrial appendage;
suture ligation;
thromboembolic stroke;
CORONARY-ARTERY-BYPASS;
WARFARIN USE;
ANTITHROMBOTIC THERAPY;
STROKE PREVENTION;
RISK-FACTORS;
THROMBOEMBOLISM;
ANTICOAGULATION;
MANAGEMENT;
CLOSURE;
OBLITERATION;
D O I:
10.1016/j.jacc.2012.06.046
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Objectives The purpose of the study was to determine the efficacy and safety of left atrial appendage (LAA) closure via a percutaneous LAA ligation approach. Background Embolic stroke is the most devastating consequence of atrial fibrillation. Exclusion of the LAA is believed to decrease the risk of embolic stroke. Methods Eighty-nine patients with atrial fibrillation were enrolled to undergo percutaneous ligation of the LAA with the LARIAT device. The catheter-based LARIAT device consists of a snare with a pre-tied suture that is guided epicardially over the LAA. LAA closure was confirmed with transesophageal echocardiography (TEE) and contrast fluoroscopy immediately, then with TEE at 1 day, 30 days, 90 days, and 1 year post-LAA ligation. Results Eighty-five (96%) of 89 patients underwent successful LAA ligation. Eighty-one of 85 patients had complete closure immediately. Three of 85 patients had a <= 2-mm residual LAA leak by TEE color Doppler evaluation. One of 85 patients had a <3-mm jet by TEE. There were no complications due to the device. There were 3 access-related complications (during pericardial access, n = 2; and transseptal catheterization, n = 1). Adverse events included severe pericarditis post-operatively (n = 2), late pericardial effusion (n = 1), unexplained sudden death (n = 2), and late strokes thought to be non-embolic (n = 2). At 1 month (81 of 85) and 3 months (77 of 81) post-ligation, 95% of the patients had complete LAA closure by TEE. Of the patients undergoing 1-year TEE (n = 65), there was 98% complete LAA closure, including the patients with previous leaks. Conclusions LAA closure with the LARIAT device can be performed effectively with acceptably low access complications and periprocedural adverse events in this observational study. (C) 2012 by the American College of Cardiology Foundation
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页码:108 / 118
页数:11
相关论文
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机构: Johns Hopkins Univ Hosp, Baltimore, MD 21287 USA

Iesaka, Yoshito
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Jackman, Warren
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Jais, Pierre
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Kottkamp, Hans
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Kuck, Karl Heinz
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Lindsay, Bruce D.
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Marchlinski, Francis E.
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McCarthy, Patrick M.
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Mont, J. Lluis
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Morady, Fred
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Nademanee, Koontawee
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Natale, Andrea
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Pappone, Carlo
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Prystowsky, Eric
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Raviele, Antonio
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Ruskin, Jeremy N.
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Shemin, Richard J.
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[10]
Left Atrial Appendage Occlusion: Lessons Learned From Surgical and Transcatheter Experiences
[J].
Chatterjee, Subhasis
;
Alexander, John C.
;
Pearson, Paul J.
;
Feldman, Ted
.
ANNALS OF THORACIC SURGERY,
2011, 92 (06)
:2283-2292

Chatterjee, Subhasis
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机构:
NorthShore Univ HealthSyst, Cardiac & Thorac Surg Div, Dept Surg, Evanston, IL 60201 USA NorthShore Univ HealthSyst, Cardiac & Thorac Surg Div, Dept Surg, Evanston, IL 60201 USA

Alexander, John C.
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Pearson, Paul J.
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Feldman, Ted
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机构: NorthShore Univ HealthSyst, Cardiac & Thorac Surg Div, Dept Surg, Evanston, IL 60201 USA