BookJacqueline Saw, Saibal Kar and Matthew J. Price, editors.
Summary: This book provides a comprehensive overview of state-of-the-art left atrial appendage (LAA) closure, covering epidemiology of atrial fibrillation and stroke, LAA anatomy, surgical approaches, imaging for LAA closure, LAA closure procedure, and post-procedural management. LAA closure is a rapidly emerging field in stroke prevention for patients with atrial fibrillation. Several percutaneous and surgical devices are now available in many countries, including WATCHMAN, Amplatzer Cardiac Plug and Amulet, and LARIAT devices, and many more are in clinical development and are being evaluated in research trials. As LAA closure is a technically challenging procedure, detailed knowledge of the rationale, anatomy, and technical approach of this modality guides clinicians in patient selection and facilitates procedural success. Left Atrial Appendage Closure is a valuable resource for interventional cardiologists, electrophysiologists, echocardiographers, radiographers, fellows, and residents in guiding the management of patients prior to, during, and following LAA closure. .
Contents:
Atrial fibrillation and stroke epidemiology
Efficacy and limitations of warfarin, and novel oral anticoagulants with AF
Mechanistic rationale for LAA closure with AF and stroke prevention
LAA anatomy
Conventional surgery for LAA closure
The use of transesophageal echocardiography to guide percutaneous LAA closure
The use of intracardiac echocardiography to guide procedural LAA closure
The use of cardiac CTA to guide percutaneous LAA closure
PLAATO device
WATCHMAN device
WATCHMAN: Trials and registries results
Amplatzer Cardiac Plug (ACP) and Amulet
ACP and Amulet: Trials and registries results
LARIAT
LARIAT: Trials and registries results
Novel percutaneous LAA closure devices in clinical or pre-clinical trials
Concomitant AF ablation and LAA closure
Procedural complications and management
Antiplatelet and anticoagulant strategies after LAA closure
Device-related thrombi, residual leaks and consequences.