Intra-Cardiac versus Transesophageal Echocardiographic Guidance for Left Atrial Appendage Occlusion with a Watchman FLX Device.
echocardiography
intra-cardiac
left atrial appendage occlusion
transesophageal
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
20 Oct 2023
20 Oct 2023
Historique:
received:
22
08
2023
revised:
03
10
2023
accepted:
18
10
2023
medline:
28
10
2023
pubmed:
28
10
2023
entrez:
28
10
2023
Statut:
epublish
Résumé
This study aimed to compare the peri-procedural success and complication rate within a large registry of intra-cardiac echocardiography (ICE)- vs. transesophageal echocardiography (TEE)-guided left atrial appendage occlusion (LAAO) procedures with a Watchmann FLX device. Data from 772 LAAO procedures, performed at 26 Italian centers, were reviewed. Technical success was considered as the final implant of a Watchmann FLX device in LAA; the absence of pericardial tamponade, peri-procedural stroke and/or systemic embolism, major bleeding and device embolization during the procedure was defined as a procedural success. One-year stroke and major bleeding rates were evaluated as outcome. ICE-guided LAA occlusion was performed in 149 patients, while TEE was used in 623 patients. Baseline characteristics were similar between the ICE and TEE groups. The technical success was 100% in both groups. Procedural success was also extremely high (98.5%), and was comparable between ICE (98.7%) and TEE (98.5%). ICE was associated with a slightly longer procedural time (73
Identifiants
pubmed: 37892796
pii: jcm12206658
doi: 10.3390/jcm12206658
pmc: PMC10607018
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Heart Rhythm. 2017 Sep;14(9):1302-1308
pubmed: 28577840
J Am Coll Cardiol. 2017 Dec 19;70(24):2964-2975
pubmed: 29103847
JACC Cardiovasc Interv. 2019 Jun 10;12(11):1030-1039
pubmed: 31171278
Chest. 2010 Nov;138(5):1093-100
pubmed: 20299623
JACC Cardiovasc Interv. 2017 Nov 13;10(21):2198-2206
pubmed: 28866042
Stroke. 2005 Jun;36(6):1115-9
pubmed: 15879330
Chest. 2010 Feb;137(2):263-72
pubmed: 19762550
Heart Lung. 2023 Jan-Feb;57:69-74
pubmed: 36084398
Balkan Med J. 2023 Apr 07;40(3):151-152
pubmed: 37025078
J Thromb Haemost. 2005 Apr;3(4):692-4
pubmed: 15842354
Clin Epidemiol. 2014 Jun 16;6:213-20
pubmed: 24966695
JACC Cardiovasc Interv. 2018 Jun 11;11(11):1086-1092
pubmed: 29880104
Echocardiography. 2019 Jul;36(7):1330-1337
pubmed: 31215709
Ann Intern Med. 2007 Jun 19;146(12):857-67
pubmed: 17577005
JAMA. 2001 May 9;285(18):2370-5
pubmed: 11343485
JACC Clin Electrophysiol. 2020 Apr;6(4):393-400
pubmed: 32327072
J Interv Cardiol. 2022 Apr 27;2022:5797431
pubmed: 35571991
PLoS One. 2013 May 21;8(5):e63479
pubmed: 23704912
J Cardiothorac Vasc Anesth. 2005 Apr;19(2):141-5
pubmed: 15868517