Left Atrial Laceration With Epicardial Ligation Device

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Left atrial laceration with epicardial ligation device.

Many new devices and techniques are being developed to attempt a reduction in embolic stroke risk for patients with atrial fibrillation who are either unable or unwilling to maintain long-term anticoagulation. One of these new devices (LARIAT®, SentreHEART Inc., Redwood City, California, USA) employs delivery of an epicardial suture to ligate the left atrial appendage after percutaneous pericar...

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Percutaneous Left Atrial Appendage Suture Ligation Using the LARIAT Device in Patients With Atrial Fibrillation

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...

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Left atrial epicardial adiposity and atrial fibrillation.

BACKGROUND Atrial fibrillation (AF) has been linked to inflammatory factors and obesity. Epicardial fat is a source of several inflammatory mediators related to the development of coronary artery disease. We hypothesized that periatrial fat may have a similar role in the development of AF. METHODS AND RESULTS Left atrium (LA) epicardial fat pad thickness was measured in consecutive cardiac CT...

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Left Atrial Appendage Remodeling After Lariat Left Atrial Appendage Ligation.

BACKGROUND Left atrial appendage (LAA) ligation with the Lariat device is being used for stroke prevention in atrial fibrillation. Residual leaks into the LAA are commonly reported after the procedure. Little is known about the anatomic LAA remodeling after Lariat ligation. METHODS AND RESULTS In an exploratory study, we evaluated LAA 3-dimensional geometry via computed tomographic scan in 31...

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The role of multimodality imaging in percutaneous left atrial appendage suture ligation with the LARIAT device.

Atrial fibrillation (AF), the most common cardiac arrhythmia, is a significant cause of embolic stroke. Although systemic anticoagulation is the primary strategy for preventing the thromboembolic complications of AF, anticoagulants carry major bleeding risks, and many patients have contraindications to their use. Because thromboembolism typically arises from a clot in the left atrial appendage ...

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ژورنال

عنوان ژورنال: Annals of Thoracic and Cardiovascular Surgery

سال: 2014

ISSN: 1341-1098,2186-1005

DOI: 10.5761/atcs.cr.13-00134