The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

EDITORIAL

European registry data on LAA closure: advancing the field of interventional stroke prevention

EuroIntervention 2018;14:135-138. DOI: 10.4244/EIJV14I2A20

Cardiologicum Hamburg, Hamburg, Germany


Five-year data from randomised trials comparing left atrial appendage (LAA) closure employing the WATCHMAN® device (Boston Scientific, Marlborough, MA, USA) to warfarin for stroke prevention in patients with atrial fibrillation (AFib) have shown non-inferiority and a net benefit for patients; in fact mortality as well as stroke severity was lower in the device group1. However, current ESC guidelines only give a IIb B recommendation for LAA closure in patients with increased bleeding risk. Prospective registry data from Europe now give us new insights into the benefits and risks of this procedure.

Previously, certain anatomies were believed not to ...

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