Abstract
Atrial fibrillation (AF) places patients at increased risk of thromboembolic events that can be devastating. The left atrial appendage (LAA) has been identified as the source of thrombus formation in nonvalvular AF. Traditionally, systemic anticoagulation has been used to reduce the risk of stroke and systemic embolism. However, anticoagulation is not well tolerated in all patients and is underutilized. As a potential alternative to anticoagulation, novel therapies have been developed to remove the LAA. Three main techniques are being utilized to accomplish LAA exclusion: percutaneous intracardiac, percutaneous epicardial, and surgical approaches. Emerging evidence suggests that LAA exclusion may be an effective means of reducing the risk of stroke in patients with nonvalvular AF.
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Kyle J. Feldmann and Arash Arshi declare that they have no conflict of interest.
Steven J. Yakubov reports grants from SentreHeart and Boston Scientific.
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Feldmann, K.J., Arshi, A. & Yakubov, S.J. An Overview of Left Atrial Appendage Occlusion Devices. Curr Cardiol Rep 17, 22 (2015). https://doi.org/10.1007/s11886-015-0573-0
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DOI: https://doi.org/10.1007/s11886-015-0573-0