Choosing Appropriate Candidates for Left Atrial Appendage Occlusion

作者全名："Zhang, Chengxiang; Lu, Hao; Zhu, Yuansong"

作者地址："[Zhang, Chengxiang; Lu, Hao] First Affiliated Hosp Chongqing Med Univ, Dept Gen Med, Chongqing 400016, Peoples R China; [Zhu, Yuansong] First Affiliated Hosp Chongqing Med Univ, Dept Cardiol, Chongqing 400016, Peoples R China"

通信作者："Zhu, YS (通讯作者)，First Affiliated Hosp Chongqing Med Univ, Dept Cardiol, Chongqing 400016, Peoples R China."

来源：REVIEWS IN CARDIOVASCULAR MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001144352600010

JCR分区：Q3

影响因子：2.7

年份：2023

卷号：24

期号：12

开始页：　

结束页：　

文献类型：Review

关键词：atrial fibrillation; AF; left atrial appendage; LAA; left atrial appendage occlusion; left atrial appendage closure; stroke

摘要："Atrial fibrillation (AF) is one the most prevalent arrhythmias globally and is associated with a significantly higher risk of morbidity and mortality, including an up to five-fold increase in risk of stroke. While oral anticoagulation therapy remains the standard approach for stroke prevention in nonvalvular AF, left atrial appendage occlusion (LAAO) has emerged as a viable alternative for patients who are intolerant to long-term oral anticoagulation therapy. However, selecting appropriate candidates for LAAO requires a comprehensive evaluation that considers various clinical factors, although this presents a challenge in clinical practice. This review aims to provide an overview of the current recommendations for patient selection in LAAO procedures and the key factors that need to be considered both before and after the procedure, as well as the ongoing advancements in this field that may facilitate the selection of patients for LAAO."

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