4.6 Review

Peridevice Leak After Left Atrial Appendage Occlusion

Journal

JACC-CARDIOVASCULAR INTERVENTIONS
Volume 16, Issue 6, Pages -

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jcin.2022.12.006

Keywords

anticoagulation; atrial fibrillation; left atrial appendage occlusion; stroke

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This paper reviewed the available research on the frequency, mechanisms, clinical significance, and management of peridevice leak after percutaneous left atrial appendage occlusion.
Left atrial appendage occlusion is an increasingly adopted stroke prevention strategy in patients with atrial fibrillation. However, peridevice leaks after the procedure are not infrequent and have recently been shown to confer a higher risk for subsequent ischemic events. In this paper, the authors review the available research on the frequency, mechanisms, clinical significance, and management of peridevice leak after percutaneous left atrial appendage occlusion. (J Am Coll Cardiol Intv 2023;16:627-642) (c) 2023 by the American College of Cardiology Foundation.

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