TY - JOUR
T1 - Left atrial appendage occlusion in octogenarians
T2 - Short-Term and 1-Year Follow-Up
AU - Gafoor, Sameer
AU - Franke, Jennifer
AU - Bertog, Stefan
AU - Boehm, Patrick
AU - Heuer, Luisa
AU - Gonzaga, Maik
AU - Bauer, Janine
AU - Braut, Annkathrin
AU - Lam, Simon
AU - Vaskelyte, Laura
AU - Hofmann, Ilona
AU - Sievert, Horst
N1 - Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2014/4/1
Y1 - 2014/4/1
N2 - Objectives To determine the procedural safety, safety, and efficacy of left atrial appendage (LAA) occlusion in octogenarians. Background Elderly patients with atrial fibrillation (AF) often do not receive appropriate anticoagulation. LAA occlusion is an option for patients with AF and contraindications to anticoagulation. Not much is known about the procedural safety and clinical efficacy of LAA occlusion in the very elderly. Methods A retrospective review of LAA cases at our institution between 2002 and 2013 in patients 80 years of age or older was performed. Demographic, echocardiographic, procedural, and clinical follow-up data were collected. Results Seventy-five cases were attempted in patients 80 years of age or older (average age 83.4 ± 2.8 years, 53.3% males). Hypertension, coronary artery disease, and heart failure were present in 96, 41.3, and 36%, respectively. Mean CHADS2 and CHA2DS-VASc scores were 3.3 and 5.2. Devices used included the WATCHMAN, ACP, PLAATO, Lariat, and Coherex devices, which were attempted in 34.7, 36, 17.3, 5.3, and 5.3%, respectively. Overall procedural success, safety endpoint, and 1-year device efficacy was 90.1, 3.9, and 97.4%, respectively. Conclusion LAA closure is a safe and efficacious method of stroke prevention in the very elderly with AF. © 2013 Wiley Periodicals, Inc.
AB - Objectives To determine the procedural safety, safety, and efficacy of left atrial appendage (LAA) occlusion in octogenarians. Background Elderly patients with atrial fibrillation (AF) often do not receive appropriate anticoagulation. LAA occlusion is an option for patients with AF and contraindications to anticoagulation. Not much is known about the procedural safety and clinical efficacy of LAA occlusion in the very elderly. Methods A retrospective review of LAA cases at our institution between 2002 and 2013 in patients 80 years of age or older was performed. Demographic, echocardiographic, procedural, and clinical follow-up data were collected. Results Seventy-five cases were attempted in patients 80 years of age or older (average age 83.4 ± 2.8 years, 53.3% males). Hypertension, coronary artery disease, and heart failure were present in 96, 41.3, and 36%, respectively. Mean CHADS2 and CHA2DS-VASc scores were 3.3 and 5.2. Devices used included the WATCHMAN, ACP, PLAATO, Lariat, and Coherex devices, which were attempted in 34.7, 36, 17.3, 5.3, and 5.3%, respectively. Overall procedural success, safety endpoint, and 1-year device efficacy was 90.1, 3.9, and 97.4%, respectively. Conclusion LAA closure is a safe and efficacious method of stroke prevention in the very elderly with AF. © 2013 Wiley Periodicals, Inc.
KW - COMP - Complications adult cath/intervention
KW - LAC - Left Atrial Appendage Closure
KW - PERI - Pericardial
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U2 - 10.1002/ccd.25297
DO - 10.1002/ccd.25297
M3 - Article
C2 - 24259397
AN - SCOPUS:84899439608
SN - 1522-1946
VL - 83
SP - 805
EP - 810
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 5
ER -