Clinical Characteristics and in-Hospital Outcomes of Patients Undergoing Left Atrial Appendage Closure

Authors : Gönül ZEREN, Fatma CAN, Mustafa Azmi SUNGUR, Şahin YILMAZ, Can Yücel KARABAY

Pages : 14-19

View : 14 | Download : 7

Publication Date : 2023-03-21

Article Type : Research Paper

Abstract :Introduction: Percutaneous left atrial appendage closure insert ignore into journalissuearticles values(LAAC); is considered in patients with non-valvular atrial fibrillation insert ignore into journalissuearticles values(AF); who cannot receive long-term anticoagulant therapy or who experience thromboembolism despite anticoagulant therapy. The structural feature of the left atrial appendage insert ignore into journalissuearticles values(LAA); and high variability of the clinical features of the patients endorse the difficulty of the procedure. In this study, it was aimed to present our single-center LAAC experience and in-hospital follow-up results of the patients. Patients and Methods: Patients who had undergone LAAC in our cardiology clinic between 2017 and 2022 were included in the study retrospectively. All clinical, laboratory and imaging characteristics of the patients and in-hospital follow-up results were evaluated. Results: Median age of 29 patients included in the study was 78 years insert ignore into journalissuearticles values(65-82, IQR= 25-75); and 17 were males insert ignore into journalissuearticles values(58.6%);. Median score of CHA2 DS2 -VASc was 4 insert ignore into journalissuearticles values(4-6, IQR= 25-75);. In addition, median value of the HASBLED score was 3 insert ignore into journalissuearticles values(3-4, IQR= 25-75);. The rate of complete closure, minor bleeding during the procedure, and pericardial tamponade were 27 insert ignore into journalissuearticles values(93.1%);, 1 insert ignore into journalissuearticles values(3.4%);, and 1 insert ignore into journalissuearticles values(3.4%); respectively, and the device was dislocated immediately after the procedure in one patient insert ignore into journalissuearticles values(3.4%);. The most common type of LAA appendix was chicken wings 15 insert ignore into journalissuearticles values(51.7%);. Conclusion: Success rate of the LAAC procedure was high in this single-center study conducted in our country with a relatively high number of patients.
Keywords : Atrial fibrillation, anticoagulant drugs, thromboembolism