Percutaneous left atrial appendage occlusion in 2016

EuroIntervention 2016;11:e1576-e1578 published online e-edition April 2016. DOI: 10.4244/EIJV11I14A307

Apostolos Tzikas
Apostolos Tzikas1*, MD, PhD; Horst Sievert2, MD; David R. Holmes Jr3, MD
1. AHEPA University Hospital, Thessaloniki, Greece; 2. CardioVascular Center Frankfurt, Frankfurt, Germany; 3. Mayo Clinic, Rochester, MN, USA

Percutaneous left atrial appendage (LAA) occlusion has been developed as an alternative, non-pharmacological treatment for stroke prevention in patients with non-valvular atrial fibrillation (AF)1-4. Oral anticoagulation (OAC) with warfarin or novel oral anticoagulation agents (NOACs), such as dabigatran, rivaroxaban, apixaban, etc., has been considered the gold standard therapy5. However, OAC therapy with any of the current agents is associated with an increased risk of bleeding, the potential for drug-drug interactions such as triple therapy (OAC and two antiplatelet drugs), and compliance both early and later, with up to 20-25% of patients discontinuing the drugs at intermediate-term follow-up, thus ...

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