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Left Atrial Appendage Closure for Stroke Prevention:Emerging Technologies

Authors
Journal
Cardiac Electrophysiology Clinics
1877-9182
Publisher
Elsevier
Volume
6
Issue
1
Identifiers
DOI: 10.1016/j.ccep.2013.12.002
Keywords
  • Atrial Fibrillation
  • Left Atrial Appendage Closure
  • Stroke
  • Cardioembolic Risk
Disciplines
  • Medicine

Abstract

Current anticoagulant therapies aimed at stroke prevention in atrial fibrillation (AF) are increasingly challenged by a complex patient population at significant risk of bleeding. Mounting evidence shows that left atrial appendage (LAA) closure is an effective strategy for reducing stroke risk in patients with nonvalvular AF, without the need for anticoagulation. Several approaches and devices have been developed in recent years, each with their own set of advantages and disadvantages. This article reviews these approaches, identifies pertinent aspects, and outlines necessary or ongoing research in establishing LAA closure as a safe and effective approach to stroke risk reduction.

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