Left Atrial Appendage Occlusion, An Issue of Cardiac Electrophysiology Clinics

1st Edition, Volume 15-2 - April 18, 2023
Editor: Matthew James Daniels
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 2 3 8 - 9
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 2 3 9 - 6

In this issue of Cardiac Electrophysiology Clinics, guest editor Dr. Matthew J. Daniels brings his considerable expertise to the topic of Left Atrial Appendage Occlusion. Top… Read more

Left Atrial Appendage Occlusion, An Issue of Cardiac Electrophysiology Clinics

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In this issue of Cardiac Electrophysiology Clinics, guest editor Dr. Matthew J. Daniels brings his considerable expertise to the topic of Left Atrial Appendage Occlusion. Top experts in the field discuss topics such as pre-cath laboratory planning for left atrial appendage occlusion: optional or essential; the case for intracardiac echo to guide left atrial appendage closure; follow-up imaging after left atrial appendage occlusion: something or nothing and for how long?; left atrial appendage closure: what the evidence does and does not reveal; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Are Ischemic Strokes the Same? The Special Case Argument of Atrial Fibrillation
Key points
Introduction
Stroke causes and their impact on choice of stroke-prevention measures
The special case for atrial fibrillation as a cause of ischemic strokes and particularities in stroke-prevention strategies
Summary
Clinics care points
Left Atrial Thrombus—Are All Atria and Appendages Equal?
Key points
Introduction
Anatomy
Thrombogenesis
Instrumentation/implantation
Future developments
Summary
Clinics care points
Supplementary data
Left Atrial Appendage Occlusion—A Choice or a Last Resort? How to Approach the Patient
Key points
Introduction
Left atrial appendage occlusion as a last resort?
Left atrial appendage occlusion from patient choice
How to approach the patient
Summary
Clinics care points
Pre-cath Laboratory Planning for Left Atrial Appendage Occlusion – Optional or Essential?
Key points
Introduction
Percutaneous left atrial appendage occlusion
Summary
Clinics care points
The Case for Intracardiac Echo to Guide Left Atrial Appendage Closure
Key points
Rational for ICE-guided LAAC
Data supporting ICE-guided LAAC
Tips for successful ICE-guided LAAC program
Summary
Clinics care points
Follow Up imaging After Left Atrial Appendage Occlusion–Something or Nothing and for How Long?
Key points
Introduction
Summary
Conflict of interests
Left Atrial Appendage Closure: What the Evidence Does and Does Not Reveal—A View from the Outside
Key points
Introduction
Is percutaneous LAAC a better option?
How should the data shape our practice?
Does the evidence support the use of LAAC and are the guidelines correctly positioned?
Summary
Clinics care points
The Strengths and Weaknesses of the LAA Covering Disc Occluders—Conceptually and in Practice
Key points
Introduction
LAA occluders with covering disc design
Preprocedural imaging updates
Intraprocedural technical considerations
Postprocedural follow-up
Summary
Left Atrial Appendage Occlusion Strengths and Weaknesses of the Lobe-Only Occluder Concept in Theory and in Practice
Key points
Introduction: rationale for the nondisk left atrial appendage occlusion devices
Device overview
Specific features of the occluder-only concept
Summary
Clinics care points
Disclosure
The Strengths and Weaknesses of Left Atrial Appendage Ligation or Exclusion (LARIAT, AtriaClip, Surgical Suture)
Key points
Background
Epicardial exclusion of the left atrial appendage
The AtriClip left atrial appendage exclusion device
LARIAT left atrial appendage exclusion system
Salient effects of epicardial left atrial appendage exclusion
Summary
Clinics care points
Disclosure
The Future of LAAC—In 5, 10, and 20 Years
Key points
Introduction
Prediction 1: where LAAC will be in 20 years?
Prediction 2: trial outcomes and impacts
Prediction 3: A dominant device strategy
Prediction 4: inclusion of other technologies
Predication 5: repositioning LAAC to younger patients
Prediction 6: changes in device concept
Prediction 7: changes in procedure—safety
Prediction 8: changes in procedure - efficacy
Prediction 9: changes in patient indication—bleeding risk reduction or stroke prevention?
Prediction 10: the special case of LAAC in patients with prior intracerebral hemorrhage
Summary
Clinics care points

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Left Atrial Appendage Occlusion, An Issue of Cardiac Electrophysiology Clinics

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Matthew James Daniels