Surgical clip closure of the left atrial appendage.

Tytuł:: Surgical clip closure of the left atrial appendage.
Autorzy:: Rosati F; Division of Cardiac Surgery, Spedali Civili Brescia University Hospital, Brescia, Italy.
de Maat GE; Department of Cardio-thoracic Surgery, University Medical Centre Groningen, Groningen, The Netherlands.
Valente MAE; Department of Cardio-thoracic Surgery, University Medical Centre Groningen, Groningen, The Netherlands.
Mariani MA; Department of Cardio-thoracic Surgery, University Medical Centre Groningen, Groningen, The Netherlands.
Benussi S; Division of Cardiac Surgery, Spedali Civili Brescia University Hospital, Brescia, Italy.
Źródło:: Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2021 Oct; Vol. 32 (10), pp. 2865-2872. Date of Electronic Publication: 2021 Aug 04.
Typ publikacji:: Journal Article; Review
Język:: English
Imprint Name(s):: Publication: Malden, MA : Blackwell
Original Publication: Mt. Kisco, N.Y. : Futura Pub., c1990-
MeSH Terms:: Atrial Appendage*/diagnostic imaging
Atrial Appendage*/surgery
Atrial Fibrillation*/diagnostic imaging
Atrial Fibrillation*/surgery
Catheter Ablation*/adverse effects
Thromboembolism*/etiology
Thromboembolism*/prevention & control
Humans ; Surgical Instruments
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Contributed Indexing:: Keywords: ablation; atrial fibrillation; left atrial appendage
Entry Date(s):: Date Created: 20210721 Date Completed: 20211020 Latest Revision: 20220731
Update Code:: 20240105
PubMed Central ID:: PMC9291484
DOI:: 10.1111/jce.15181
PMID:: 34288215
: Czasopismo naukowe

Pełny tekst

Atrial fibrillation (AF) is the most common atrial arrhythmia, but it is not a benign disease. AF is an important risk factor for thromboembolic events, causing significant morbidity and mortality. The left atrial appendage (LAA) plays an important role in thrombus formation, but the ideal management of the LAA remains a topic of debate. The increasing popularity of surgical epicardial ablation and hybrid endoepicardial ablation approaches, especially in patients with a more advanced diseased substrate, has increased interest in epicardial LAA management. Minimally invasive treatment options for the LAA offer a unique opportunity to close the LAA with a clip device. This review highlights morphologic, electrophysiologic, and surgical aspects of the LAA with regard to AF surgery, and aims to illustrate the importance of surgical clip closure of the LAA.
(© 2021 The Authors. Journal of Cardiovascular Electrophysiology published by Wiley Periodicals LLC.)

Comment in: J Cardiovasc Electrophysiol. 2022 Jan;33(1):140. (PMID: 34796994)
Comment in: J Cardiovasc Electrophysiol. 2022 Jan;33(1):141. (PMID: 34820941)

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