Device-Related Thrombus After Left Atrial Appendage Closure

Although left atrial appendage closure (LAAC) has proved non-inferior to oral anticoagulants in patients with AF, there has been recent concern about the occurrence of late complications, especially device-related thrombus (DRT), which was associated with increased risk of stroke. In this article, t...

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Autores principales:	Philippe Garot, Bertrand Cormier, Jérôme Horvilleur
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2019
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/01cb9a9a32cf42eaa6fe4a65a0404477
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spelling	oai:doaj.org-article:01cb9a9a32cf42eaa6fe4a65a04044772021-12-04T16:00:48ZDevice-Related Thrombus After Left Atrial Appendage Closure10.15420/icr.2018.21.31756-14851756-1477https://doaj.org/article/01cb9a9a32cf42eaa6fe4a65a04044772019-01-01T00:00:00Zhttps://www.icrjournal.com/articles/device-thrombus-LAAChttps://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Although left atrial appendage closure (LAAC) has proved non-inferior to oral anticoagulants in patients with AF, there has been recent concern about the occurrence of late complications, especially device-related thrombus (DRT), which was associated with increased risk of stroke. In this article, the incidence, risk factors and time course of DRT after LAAC are discussed, as well as the potential benefits of dedicated strategies in the management of DRT, which remain speculative, especially in patients with a contraindication to oral anticoagulants. In these patients, decision-making should be based on a multidisciplinary evaluation of the ischaemic/bleeding balance on an individual basis.Philippe GarotBertrand CormierJérôme HorvilleurRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 14, Iss 1, Pp 42-44 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Philippe Garot Bertrand Cormier Jérôme Horvilleur Device-Related Thrombus After Left Atrial Appendage Closure
description	Although left atrial appendage closure (LAAC) has proved non-inferior to oral anticoagulants in patients with AF, there has been recent concern about the occurrence of late complications, especially device-related thrombus (DRT), which was associated with increased risk of stroke. In this article, the incidence, risk factors and time course of DRT after LAAC are discussed, as well as the potential benefits of dedicated strategies in the management of DRT, which remain speculative, especially in patients with a contraindication to oral anticoagulants. In these patients, decision-making should be based on a multidisciplinary evaluation of the ischaemic/bleeding balance on an individual basis.
format	article
author	Philippe Garot Bertrand Cormier Jérôme Horvilleur
author_facet	Philippe Garot Bertrand Cormier Jérôme Horvilleur
author_sort	Philippe Garot
title	Device-Related Thrombus After Left Atrial Appendage Closure
title_short	Device-Related Thrombus After Left Atrial Appendage Closure
title_full	Device-Related Thrombus After Left Atrial Appendage Closure
title_fullStr	Device-Related Thrombus After Left Atrial Appendage Closure
title_full_unstemmed	Device-Related Thrombus After Left Atrial Appendage Closure
title_sort	device-related thrombus after left atrial appendage closure
publisher	Radcliffe Medical Media
publishDate	2019
url	https://doaj.org/article/01cb9a9a32cf42eaa6fe4a65a0404477
work_keys_str_mv	AT philippegarot devicerelatedthrombusafterleftatrialappendageclosure AT bertrandcormier devicerelatedthrombusafterleftatrialappendageclosure AT jeromehorvilleur devicerelatedthrombusafterleftatrialappendageclosure
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Device-Related Thrombus After Left Atrial Appendage Closure

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