Journal of cardiovascular medicine (Hagerstown, Md.) · 2022
Impact and predictors of device-related thrombus after percutaneous left atrial appendage closure.
ОбзорСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Branca Luca, Tomasoni Daniela, Cimino Giuliana, Cersosimo Angelica, Lombardi Carlo Mario, Chizzola Giuliano, Metra Marco, Adamo Marianna
Аннотация
Device-related thrombus (DRT) is a known complication occurring in up to 7% of patients undergoing percutaneous left atrial appendage closure (LAAC). Since the target population of LAAC is generally ineligible for oral anticoagulant therapies, DRT raises important concerns. The aim of this review will be to summarize available evidence on DRT after LAAC focusing on its possible impact on outcomes. Recent findings showed a tighter association between DRT and neurological ischemic events. Antithrombotic regimen adopted after LAAC may have a protective effect against DRT. Many patient-related and procedural factors have been identified as possible predictors of DRT. A tailored approach, which takes into account DRT, is needed in the patient selection for LAAC and in the postprocedural follow-up.