Intracardiac Echocardiography-guided Left Atrial Appendage Occlusion

Left atrial appendage occlusion (LAAO) is a suitable alternative to oral anticoagulant therapy to prevent stroke in patients with AF. Most procedures are performed under transoesophageal echocardiography (TOE) guidance, which facilitates transseptal puncture, reduces the risk of procedure-related co...

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Bibliographic Details
Main Authors: Juan Carlos Diaz, Mauricio Duque, Jorge Marin, Julian Aristizabal, Cesar Niño, Oriana Bastidas, Carlos D Matos, Carolina Hoyos, Daniela Hincapie, Jorge E Romero
Format: Article
Language:English
Published: Radcliffe Medical Media 2024-03-01
Series:Arrhythmia & Electrophysiology Review
Online Access:https://www.aerjournal.com/articleindex/aer.2023.29
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Summary:Left atrial appendage occlusion (LAAO) is a suitable alternative to oral anticoagulant therapy to prevent stroke in patients with AF. Most procedures are performed under transoesophageal echocardiography (TOE) guidance, which facilitates transseptal puncture, reduces the risk of procedure-related complications and provides an additional method for device selection and real-time monitoring during device deployment. However, TOE has significant shortcomings, including the need for general anaesthesia/deep sedation as well as a significant risk of procedure-related adverse events. More recently, intracardiac echocardiography has been proposed as an alternative to TOE guidance during LAAO procedures. In this review, we summarise the available evidence as well as providing a step-by-step approach for intracardiac echocardiography-guided LAAO.
ISSN:2050-3369
2050-3377