Anesthesia for percutaneous left atrial appendage closure

Chapter

Abstract

  • Atrial fibrillation, the most prevalent arrhythmia, increases the risk of stroke. Oral anticoagulants have been the cornerstone of stroke prevention in patients with atrial fibrillation. Given their limitations, mechanical closure of the left atrial appendage, the most common origin of embolic stroke, has been a long endeavor of surgeons and cardiologists. The WATCHMAN device has recently been approved as an alternative to oral anticoagulants in select group of patients with non-valvular atrial fibrillation. In this chapter, we discuss the role of left atrial appendage in stroke causation, approaches of left atrial appendage closure and exclusion, the role of imaging in guiding exclusion procedures, and the peri-operative management of patients undergoing mechanical closure of the left atrial appendage.
  • Authors

    International Standard Book Number (isbn) 13

  • 9781536129175
  • Start Page

  • 87
  • End Page

  • 122