Download PDF by Jacqueline Saw, Saibal Kar, Matthew J. Price: Left Atrial Appendage Closure: Mechanical Approaches to

Allied Health Services

By Jacqueline Saw, Saibal Kar, Matthew J. Price

Percutaneous left atrial appendage (LAA) closure is an rising know-how for thromboembolic prevention in sufferers with atrial traumatic inflammation (AF). the 1st human implantation of an LAA equipment happened in 2001, and because then 4 units have obtained CE mark approval. those units are being known in Europe for LAA closure in sufferers who're bad applicants for long term oral anticoagulation. within the US, the WATCHMAN gadget (Boston clinical) is predicted to obtain FDA approval imminently for AF sufferers who're warfarin-eligible. This approval is projected to noticeably extend the symptoms for LAA closures all over the world. therefore, the quantity of tactics is expected to enhance. This e-book discusses the epidemiology of AF as a explanation for stroke; using LAA closure reduce thromboembolism with AF; early surgical techniques and novel surgical units for LAA closure; and present percutaneous ways and units to be had for LAA closure. The emphasis of this booklet is on percutaneous technical methods and modern trial effects at the top units (PLAATO, WATCHMAN, Amplatzer Cardiac Plug, and LARIAT). It additionally reports unapproved units in improvement, in either medical and pre-clinical phases.

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Additional info for Left Atrial Appendage Closure: Mechanical Approaches to Stroke Prevention in Atrial Fibrillation

Example text

Reversal of novel oral anticoagulants in patients with major bleeding. J Thromb Thrombolysis. 2013;35:391–8. A. Cairns 46. Majeed A, Hwang H-G, Connolly SJ, et al. Management and outcomes of major bleeding during treatment with dabigatran or warfarin. Circulation. 2013;128:2325–32. 47. Stiell IG, Healey JS, Cairns JA. Safety of urgent cardioversion for patients with recent-onset atrial fibrillation and flutter. Can J Cardiol. 2015;31(3):239–41. 48. Reynolds MR. Cardioversion with novel oral anticoagulants.

5 mg or 5 mg or placebo. 008). 1 % vs. 6 % vs. 009). Although rivaroxaban is approved in Europe for patients with ACS also receiving antiplatelet therapy, the trial does not provide guidance for the use of rivaroxaban for AF patients who also have ACS. Compared to the population of patients with AF studied in ROCKET-AF, the ACS trial cohort was much younger, did not have AF (except by chance) and the doses of rivaroxaban were much lower. In addition to approval for AF, rivaroxaban is approved in Canada for prevention of DVT and PE in patients undergoing hip or knee replacement and for the treatment and the prevention of recurrent DVT and PE.

Siegal DM, Cuker A. Reversal of novel oral anticoagulants in patients with major bleeding. J Thromb Thrombolysis. 2013;35:391–8. A. Cairns 46. Majeed A, Hwang H-G, Connolly SJ, et al. Management and outcomes of major bleeding during treatment with dabigatran or warfarin. Circulation. 2013;128:2325–32. 47. Stiell IG, Healey JS, Cairns JA. Safety of urgent cardioversion for patients with recent-onset atrial fibrillation and flutter. Can J Cardiol. 2015;31(3):239–41. 48. Reynolds MR. Cardioversion with novel oral anticoagulants.

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