Left atrial appendage occlusion in an older population cohort.
Ir J Med Sci
; 192(6): 2707-2712, 2023 Dec.
Article
de En
| MEDLINE
| ID: mdl-37009982
ABSTRACT
BACKGROUND:
Atrial fibrillation is the most common cardiac arrhythmia and is a major risk factor for stroke, with an incidence rate of 4-5% per year. The use of DOACs is recommended for specific patient populations however the risk of bleeding commonly precludes their use. Left atrial appendage occlusion is a relatively novel procedure recommended for such patients. We set out to analyse the initial success and safety of this procedure in a single site.RESULTS:
Twenty patients were included in the study with an average age of 81 years. Seventy percent (n = 14) were male. Ninety percent (n = 18) had a history of major bleeding, an absolute contraindication to anticoagulation. The mean CHADS2VaSc and HASBLED scores were 4.75 and 3.7, respectively. The technical success rate was 95% comparable with existing data. The procedural success rate in our study was 80%. The most frequent complication was cardiac tamponade, occurring in 10% of cases.CONCLUSION:
We report lower technical success and procedural success rates in an older population cohort than historically studied, 90% of whom had an absolute contraindication to oral anticoagulation, with higher CHADS2VaSc and HASBLED scores than commonly studied.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Fibrillation auriculaire
/
Auricule de l'atrium
/
Accident vasculaire cérébral
Type d'étude:
Risk_factors_studies
Limites:
Aged80
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Ir J Med Sci
Année:
2023
Type de document:
Article
Pays d'affiliation:
Irlande