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Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device

BACKGROUND: Left atrial appendage closure (LAAC) using the LAmbre device has been associated with prevention of stroke in patients with nonvalvular atrial fibrillation (AF). Here, we interrogated the long-term safety and efficacy of using the LAmbre device in percutaneous LAAC. METHODS: We analyzed...

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Detalles Bibliográficos
Autores principales: Wang, Guangji, Kong, Bin, Liu, Yu, Huang, He
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769662/
https://www.ncbi.nlm.nih.gov/pubmed/33424491
http://dx.doi.org/10.1155/2020/6613683
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author Wang, Guangji
Kong, Bin
Liu, Yu
Huang, He
author_facet Wang, Guangji
Kong, Bin
Liu, Yu
Huang, He
author_sort Wang, Guangji
collection PubMed
description BACKGROUND: Left atrial appendage closure (LAAC) using the LAmbre device has been associated with prevention of stroke in patients with nonvalvular atrial fibrillation (AF). Here, we interrogated the long-term safety and efficacy of using the LAmbre device in percutaneous LAAC. METHODS: We analyzed 56 records of patients with nonvalvular AF undergoing LAAC procedures with the LAmbre device. We collected and analyzed the data to define the safety and efficacy of the LAmbre device implantation. RESULT: The LAAC was successfully occluded in the 56 patients. Our data showed no serious residual leak or pericardial effusion occurred during the perioperative period. At a mean follow-up of 37.8 ± 23.5 months, there were 7.1%, 3.6%, and 3.6% rates of death, stroke, and device-related thrombus, respectively. There were no cases of severe residual leak or systemic embolism. CONCLUSION: Taken together, we demonstrate that execution of LAAC with the LAmbre device has high procedural success and prevents AF-related stroke. However, further large-scale trials might be required to confirm our findings.
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spelling pubmed-77696622021-01-08 Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device Wang, Guangji Kong, Bin Liu, Yu Huang, He J Interv Cardiol Research Article BACKGROUND: Left atrial appendage closure (LAAC) using the LAmbre device has been associated with prevention of stroke in patients with nonvalvular atrial fibrillation (AF). Here, we interrogated the long-term safety and efficacy of using the LAmbre device in percutaneous LAAC. METHODS: We analyzed 56 records of patients with nonvalvular AF undergoing LAAC procedures with the LAmbre device. We collected and analyzed the data to define the safety and efficacy of the LAmbre device implantation. RESULT: The LAAC was successfully occluded in the 56 patients. Our data showed no serious residual leak or pericardial effusion occurred during the perioperative period. At a mean follow-up of 37.8 ± 23.5 months, there were 7.1%, 3.6%, and 3.6% rates of death, stroke, and device-related thrombus, respectively. There were no cases of severe residual leak or systemic embolism. CONCLUSION: Taken together, we demonstrate that execution of LAAC with the LAmbre device has high procedural success and prevents AF-related stroke. However, further large-scale trials might be required to confirm our findings. Hindawi 2020-12-21 /pmc/articles/PMC7769662/ /pubmed/33424491 http://dx.doi.org/10.1155/2020/6613683 Text en Copyright © 2020 Guangji Wang et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wang, Guangji
Kong, Bin
Liu, Yu
Huang, He
Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_full Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_fullStr Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_full_unstemmed Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_short Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_sort long-term safety and efficacy of percutaneous left atrial appendage closure with the lambre device
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7769662/
https://www.ncbi.nlm.nih.gov/pubmed/33424491
http://dx.doi.org/10.1155/2020/6613683
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