1. Clinical and multi-modality imaging approach in the selection of patients for left atrial appendage closure
- Author
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Antonello D’Andrea, Andrea Manto, Cesare Sirignano, Gaetano Quaranta, Massimo Ragni, Gemma Marrazzo, Anna Lombardi, Fabio Pastore, Renato Gioia, Raffaella Scarafile, Stefano Palermi, and Lucia Riegler
- Subjects
left atrial appendage occlusion ,Patient Selection ,emboli ,General Medicine ,multi-imaging ,Multimodal Imaging ,stroke ,Treatment Outcome ,RC666-701 ,cardiovascular system ,Humans ,Diseases of the circulatory (Cardiovascular) system ,Atrial Appendage ,atrial fibrillation ,cardiovascular diseases ,Cardiology and Cardiovascular Medicine - Abstract
Atrial fibrillation (AF) can lead to embolic stroke and in subjects with non-valvular AF most of thrombi are sited in the left atrial appendage (LAA). LAA is a structure located in the free wall of heart with a wide variable and complex anatomy. LAA occlusion (LAAO) could be taken in consideration in subjects with non-valvular AF and who cannot have long-term anticoagulant therapy. It is a complex preventive procedure given the high variability of patients characteristics and several LAAO devices available nowadays. Moreover, the ideal postprocedural antithrombotic strategy is still unclear. In this review we aim to describe clinical features of patients committed for LAA occlusion and the function of multimodality imaging in subjects selection, procedural management and follow up.
- Published
- 2021