Association between incomplete surgical ligation of left atrial appendage and stroke and systemic embolization

Heart Rhythm

Volumn 12, Issue 7, 2015, Pages 1431-1437

  Aryana, Arash ^a,b   Singh, Steve K ^c   Singh, Sheldon M ^d   Gearoid O'Neill, P ^a,b   Bowers, Mark R ^a,b   Allen, Shelley L ^a   Lewandowski, Sammi L ^a   Vierra, Eleanor C ^a   D'Avila, André ^e  

^a Regional Cardiology Associates   (United States)

^b Dignity Health Heart and Vascular Institute   (United States)

^c TEXAS HEART INSTITUTE   (United States)

^d UNIVERSITY OF TORONTO   (Canada)

^e UNIVERSIDADE FEDERAL DE SANTA CATARINA   (Brazil)

Author keywords

Cardiac surgery; Incomplete closure; Left atrial appendage; Ligation; Stroke

Indexed keywords

ANGIOTENSIN RECEPTOR ANTAGONIST; ANTIARRHYTHMIC AGENT; ANTITHROMBOCYTIC AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DIURETIC AGENT;

AGED; ANTICOAGULATION; ARTICLE; ARTIFICIAL EMBOLISM; ATRIAL FIBRILLATION; BRAIN ISCHEMIA; CEREBROVASCULAR ACCIDENT; CLINICAL EVALUATION; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; FEMALE; FOLLOW UP; HEART ATRIUM APPENDAGE; HUMAN; LIGATION; MAJOR CLINICAL STUDY; MALE; MITRAL VALVE SURGERY; MULTIVARIATE ANALYSIS; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RISK ASSESSMENT; STRATIFICATION; SUTURE; ADVERSE EFFECTS; BRAZIL; COMPLICATION; HEART SURGERY; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PROCEDURES; RISK FACTOR; STROKE; THROMBOEMBOLISM; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; VERY ELDERLY; WOUND CLOSURE;

AGED; AGED, 80 AND OVER; ATRIAL APPENDAGE; ATRIAL FIBRILLATION; BRAZIL; CARDIAC SURGICAL PROCEDURES; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; LIGATION; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; RISK ASSESSMENT; RISK FACTORS; STROKE; THROMBOEMBOLISM; WOUND CLOSURE TECHNIQUES;

EID: 84937516363     PISSN: 15475271     EISSN: 15563871     Source Type: Journal    
DOI: 10.1016/j.hrthm.2015.03.028     Document Type: Article

References (26)

1. R. Mahajan, A.G. Brooks, T. Sullivan, H.S. Lim, M. Alasady, H.S. Abed, A.N. Ganesan, S. Nayyar, D.H. Lau, K.C. Roberts-Thomson, J.M. Kalman, and P. Sanders Importance of the underlying substrate in determining thrombus location in atrial fibrillation: implications for left atrial appendage closure Heart 98 2012 1120 1126
2. R.O. Bonow, B.A. Carabello, K. Chatterjee, and et al. 2006 Writing Committee Members; American College of Cardiology/American Heart Association Task Force: 2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons Circulation 118 2008 e523 e661
3. E.S. Katz, T. Tsiamtsiouris, R.M. Applebaum, A. Schwartzbard, P.A. Tunick, and I. Kronzon Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiographic study J Am Coll Cardiol 36 2000 468 471
4. M.A. García-Fernández, E. Pérez-David, J. Quiles, J. Peralta, I. García-Rojas, J. Bermejo, M. Moreno, and J. Silva Role of left atrial appendage obliteration in stroke reduction in patients with mitral valve prosthesis: a transesophageal echocardiographic study J Am Coll Cardiol 42 2003 1253 1258
5. J.S. Healey, E. Crystal, A. Lamy, and et al. Left Atrial Appendage Occlusion Study (LAAOS): results of a randomized controlled pilot study of left atrial appendage occlusion during coronary bypass surgery in patients at risk for stroke Am Heart J 150 2005 288 293
6. A.S. Kanderian, A.M. Gillinov, G.B. Pettersson, E. Blackstone, and A.L. Klein Success of surgical left atrial appendage closure: assessment by transoesophageal echocardiography J Am Coll Cardiol 52 2008 924 929
7. L. Di Biase, P. Santangeli, M. Anselmino, and et al. Does the left atrial appendage morphology correlate with the risk of stroke in patients with atrial fibrillation? Results from a multicenter study J Am Coll Cardiol 60 2012 531 538
8. W. Somerville, and R.J. Chambers Systemic embolism in mitral stenosis: relation to the size of the left atrial appendix Br Med J 2 1964 1167 1169
9. I.M. Khurram, J. Dewire, M. Mager, and et al. Relationship between left atrial appendage morphology and stroke in patients with atrial fibrillation Heart Rhythm 10 2013 1843 1849
10. M. Anselmino, M. Scaglione, L. Di Biase, S. Gili, P. Santangeli, L. Corsinovi, M. Pianelli, F. Cesarani, R. Faletti, D. Righi, A. Natale, and F. Gaita Left atrial appendage morphology and silent cerebral ischemia in patients with atrial fibrillation Heart Rhythm 11 2014 2 7
11. G. Ernst, C. Stöllberger, F. Abzieher, W. Veit-Dirscherl, E. Bonner, B. Bibus, B. Schneider, and J. Slany Morphology of the left atrial appendage Anat Rec 242 1995 553 561
12. M. Yamamoto, Y. Seo, N. Kawamatsu, K. Sato, A. Sugano, T. Machino-Ohtsuka, R. Kawamura, H. Nakajima, M. Igarashi, Y. Sekiguchi, T. Ishizu, and K. Aonuma Complex left atrial appendage morphology and left atrial appendage thrombus formation in patients with atrial fibrillation Circ Cardiovasc Imaging 7 2014 337 343
13. F.F. Syed, C.V. DeSimone, P.A. Friedman, and S.J. Asirvatham Left atrial appendage exclusion for atrial fibrillation Cardiol Clin 32 2014 601 625
14. A. Aryana, D. Cavaco, A. Arthur, P.G. O'Neill, H. Dinh, and A. d'Avila Percutaneous endocardial occlusion of incompletely surgically ligated left atrial appendage J Cardiovasc Electrophysiol 24 2013 968 974
15. A.M. Pillai, A. Kanmanthareddy, M. Earnest, M. Reddy, R. Ferrell, J. Nath, J. Pillarisetti, A. Vallakati, and D. Lakkireddy Initial experience with post Lariat left atrial appendage leak closure with Amplatzer septal occluder device and repeat Lariat application Heart Rhythm 11 2014 1877 1883
16. R. Bai, R.P. Horton, L. Di Biase, and et al. Intraprocedural and long-term incomplete occlusion of the left atrial appendage following placement of the WATCHMAN device: a single center experience J Cardiovasc Electrophysiol 23 2012 455 461
17. S.C. Lam, S. Bertog, and H. Sievert Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device) Catheter Cardiovasc Interv 85 2015 321 327
18. M.J. Price, D.N. Gibson, S.J. Yakubov, and et al. Early safety and efficacy of percutaneous left atrial appendage suture ligation: results from the U.S. transcatheter LAA ligation consortium J Am Coll Cardiol 64 2014 565 572
19. M.A. Miller, S.R. Gangireddy, S.K. Doshi, A. Aryana, J.S. Koruth, S. Sennhauser, A. d'Avila, S.R. Dukkipati, P. Neuzil, and V.Y. Reddy Multicenter study on acute and long-term safety and efficacy of percutaneous left atrial appendage closure using an epicardial suture snaring device Heart Rhythm 11 2014 1853 1859
20. J.F. Viles-Gonzalez, S. Kar, P. Douglas, S. Dukkipati, T. Feldman, R. Horton, D. Holmes, and V.Y. Reddy The clinical impact of incomplete left atrial appendage closure with the Watchman Device in patients with atrial fibrillation: a PROTECT AF (Percutaneous Closure of the Left Atrial Appendage Versus Warfarin Therapy for Prevention of Stroke in Patients With Atrial Fibrillation) substudy J Am Coll Cardiol 59 2012 923 929
21. A.G. Dawson, S. Asopa, and J. Dunning Should patients undergoing cardiac surgery with atrial fibrillation have left atrial appendage exclusion? Interact Cardiovasc Thorac Surg 10 2010 306 311
22. D.R. Holmes, V.Y. Reddy, Z.G. Turi, S.K. Doshi, H. Sievert, M. Buchbinder, C.M. Mullin, P. Sick 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 [published correction appears in Lancet 2009;374:1596] Lancet 374 2009 534 542
23. D.R. Holmes Jr, S. Kar, M.J. Price, B. Whisenant, H. Sievert, S.K. Doshi, K. Huber, and V.Y. Reddy Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial J Am Coll Cardiol 64 2014 1 12
24. R. Whitlock, J. Healey, J. Vincent, and et al. Rationale and design of the Left Atrial Appendage Occlusion Study (LAAOS) III Ann Cardiothorac Surg 3 2014 45 54
25. A.J. Labovitz for the STEPS Investigators Transesophageal echocardiography in patients with unexplained cerebral ischemia: multicenter findings Circulation 90 1994 1 21a
26. C. Vigna, A. Russo, V. De Rito, G. Perna, A. Villella, M. Testa, V. Sollazzo, R. Fanelli, and F. Loperfido Frequency of left atrial thrombi by transesophageal echocardiography in idiopathic and in ischemic dilated cardiomyopathy Am J Cardiol 70 1992 1500 1501