Catheter-based left atrial appendage (LAA) ligation for the prevention of embolic events arising from the LAA initial experience in a canine model

Circulation: Cardiovascular Interventions

Volumn 3, Issue 3, 2010, Pages 224-229

  Lee, Randall J ^a,b   Bartus, Krzysztof ^c   Yakubov, Steven J ^d  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c JAGIELLONIAN UNIVERSITY   (Poland)

^d RIVERSIDE METHODIST HOSPITAL   (United States)

Author keywords

Catheter; Fibrillation; Left atrial appendage; Left atrial appendage exclusion; Stroke

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTERY CATHETERIZATION; ARTERY LIGATION; ARTICLE; BALLOON CATHETER; CONTROLLED STUDY; DOG; EMBOLISM; FLUOROSCOPY; FOLLOW UP; HEART ATRIUM FIBRILLATION; HEART LEFT ATRIUM; INTRACARDIAC ECHOCARDIOGRAPHY; LEFT ATRIAL APPENDAGE LIGATION; NONHUMAN; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RISK ASSESSMENT; SURGICAL EQUIPMENT; SURGICAL RISK;

ANIMALS; ATRIAL APPENDAGE; ATRIAL FIBRILLATION; CATHETERIZATION; DOGS; EMBOLISM; FEASIBILITY STUDIES; HUMANS; LIGATION; MODELS, ANIMAL; POSTOPERATIVE COMPLICATIONS;

EID: 77955899530     PISSN: 19417640     EISSN: 19417632     Source Type: Journal    
DOI: 10.1161/CIRCINTERVENTIONS.109.914978     Document Type: Article

References (28)

1. Johnson WD, Ganjoo AK, Stone CD, Srivyas RC, Howard M. The left atrial appendage: our most lethal human attachment! Surgical implications. Eur J Cardiothorac Surg. 2000;17:718-722.
2. Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke. 1991;22:983-988.
3. Blackshear JL, Odell JA. Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation. Ann Thorac Surg. 1996; 61:755-759.
4. Stafford R, Singer D. Recent national patterns of warfarin use in atrial fibrillation. Circulation. 1998;97:1231-1233.
5. Madden J. Resection of the left auricular appendix: a prophylaxis for recurrent arterial emboli. J Am Med Assoc. 1949;140:769-772.
6. Belcher JR, Somerville W. Systemic embolism and left auricular thrombosis in relation to mitral valvotomy. Br Med J. 1955;2:1000-1003.
7. Katz ES, Tsiamtsiouris T, Applebaum RM, Schwartzbard A, Tunick PA, Kronzon I. Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiographic study. J Am Coll Cardiol. 2000;36:468-471.
8. Rosenzweig BP, Katz E, Kort S, Schloss M, Kronzon I. Thromboembolus from a ligated left atrial appendage. J Am Soc Echocardiogr. 2001;14: 396-398.
9. Odell JA, Blackshear JL, Davies E, Byrne WJ, Kollmorgen CF, Edward WD, Orszulak TA. Thoracoscopic obliteration of the left atrial appendage: potential for stroke reduction? Ann Thorac Surg. 1996;61: 565-569.
10. DiSesa V, Tam S, Cohn LH. Ligation of the left atrial appendage using an automatic surgical stapler. Ann Thorac Surg. 1988;46:652-653.
11. Gillinov AM, Pettersson G, Cosgrove DM. Stapled excision of the left atrial appendage. J Thorac Cardiovasc Surg. 2005;129:679-680.
12. Friedman PA, Asirvatham SJ, Dalegrave C, Kinoshita M, Danielsen AJ, Johnson SB, Hodge DO, Munger TM, Paceker DL, Bruce CJ. Percutaneous epicardial left atrial appendate closure: preliminary results of an electrogram guided approach. J Cardiovasc Electrophysiol. 2009;20: 908-915.
13. Blackshear JL, Johnson WD, Odell JA, Baker VS, Howard M, Pearce L, Stone C, Packer DL, Schaff HV. Thoracoscopic extracardiac obliteration of the left atrial appendage for stroke risk reduction in atrial fibrillation. J Am Coll Cardiol. 2003;42:1249-1252.
14. Nakai T, Lesh MD, Gertstenfeld EP, Virmani R, Jones R, Lee RJ. Percutaneous left atrial appendage occlusion (PLAATO) for preventing cardioembolism: first experience in canine model. Circulation. 2002;105: 2217-2222.
15. Meier B, Palacios I, Windecker S, Rotter M, Cao QL, Keane D, Ruiz CE, Hijazi ZM. Transcatheter left atrial appendage occlusion with Amplatzer devices to obviate anticoagulation in patients with atrial fibrillation. Catheter Cardiovasc Interv. 2003;60:417-422.
16. Holmes DR, Reddy VY, Turi ZG, Doshi SK, Sievert H, Buchbinder M, Mullin CM, Sick P; PROTECT AF Investigators. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomised non-inferiority trial. Lancet. 2009;374:534-542.
17. The Watchman PROTECT AF Pivotal Clinical Report. April 23, 2009. http://www.fda.gov/ohrms/dockets/ac/09/briefing/2009-4434b1-07.pdf. Accessed June 6, 2009.
18. Institute of Laboratory Animal Resources, Commission on Life Sciences, National Research Council. Guide for the Care and Use of Laboratory Animals. Washington, DC: National Academy Press, 1996.
19. Sosa E, Scanavacca M, D'avila A, Pilleggi F. A new technique to perform epicardial mapping in the electrophysiology laboratory. J Cardiovasc Electrophysiol. 1996;7:531-536.
20. d'Avila A, Scanavacca M, Sosa E. Transthoracic epicardial catheter ablation of ventricular tachycardia. Heart Rhythm. 2006;3:1110-1111.
21. Garcia-Fernandez, Perez-David E, Quiles J, Peralta J, Garcia-Rojas I, Bermejo J, Moreno M, Silva J. Role of left atrial appendage obliteration in stroke reduction in patients with mitral valve prosthesis: a transesophageal echocardiographic study. J Am Coll Cardiol. 2003;42:1253-1258.
22. Donnino R, Tunick PA, Kronzon I. Left atrial appendage thrombus outside of a "successful" ligation. Eur J Echocardiogr. 2009;9:397-398.
23. Block PC, Burstein S, Casale PN, Kramer PH, Teirstein P, Williams DO, Reisman M. Percutaneous left atrial appendage occlusion for patients in atrial fibrillation suboptimal for warfarin therapy: 5-year results of the PLAATO (Percutaneous Left Atrial Appendage Transcatheter Occlusion) Study. JACC Cardiovasc Interv. 2009;2:594-600.
24. Su P, McCarthy KP, Ho SY. Occluding the left atrial appendage: anatomical considerations. Heart. 2008;94:1166-1170.
25. Heist EK, Refaat M, Danik SB, Holmvang G, Ruskin JN, Mansour M. Analysis of the left atrial appendage by magnetic resonance angiography in patients with atrial fibrillation. Heart Rhythm. 2006;3:1313-1318.
26. Veinot JP, Harrity PJ, Gentile F, Khandheria BK, Bailey KR, Eickholt JT, Seward JB, Tajik AJ, Edwards WD. Anatomy of the normal left atrial appendage: a quantitative study of age-related changes in 500 autopsy hearts: implications for echocardiographic examination. Circulation. 1997;96:3112-3115.
27. Pollick C, Taylor D. Assessment of left atrial appendage function by transesophageal echocardiography. Implications for development of thrombus. Circulation. 1991:84;223-231.
28. Al-Saady NM, Obel OA, Camm AJ. Left atrial appendage: structure, function, and role in thromboembolism. Heart. 1999;82:547-554.