Robotic-assisted left atrial ligation for stroke reduction in chronic atrial fibrillation: a case report
Patients with atrial fibrillation are at significant risk for sustaining a thromboembolic stroke. More than 90% of thromboemboli form in the left atrial appendage. Ligation of the left atrial appendage to reduce the risk of stroke is often performed in connection with other cardiac surgical procedur...
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| Veröffentlicht in: | The Heart surgery forum 2006-01, Vol.9 (1), p.E533-E535 |
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| container_title | The Heart surgery forum |
| container_volume | 9 |
| creator | Kiaii, Bob McClure, R Scott Skanes, Alan C Ross, Ian G Spouge, Alison R Swinamer, Stuart Rayman, Reiza Bainbridge, Daniel T Iglesias, Ivan Novick, Richard J |
| description | Patients with atrial fibrillation are at significant risk for sustaining a thromboembolic stroke. More than 90% of thromboemboli form in the left atrial appendage. Ligation of the left atrial appendage to reduce the risk of stroke is often performed in connection with other cardiac surgical procedures. As a stand-alone procedure, however, left atrial ligation has generally been deemed too invasive and has gained little support as an alternative therapeutic option. We report a case of port-access robotic-assisted left atrial ligation as a stand-alone procedure in a patient with chronic atrial fibrillation in whom anticoagulation was a contraindication. To our knowledge, this is the first reported case of stand-alone robotic-assisted left atrial ligation in the literature. |
| doi_str_mv | 10.1532/HSF98.20051148 |
| format | Article |
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More than 90% of thromboemboli form in the left atrial appendage. Ligation of the left atrial appendage to reduce the risk of stroke is often performed in connection with other cardiac surgical procedures. As a stand-alone procedure, however, left atrial ligation has generally been deemed too invasive and has gained little support as an alternative therapeutic option. We report a case of port-access robotic-assisted left atrial ligation as a stand-alone procedure in a patient with chronic atrial fibrillation in whom anticoagulation was a contraindication. To our knowledge, this is the first reported case of stand-alone robotic-assisted left atrial ligation in the literature.</description><subject>Aged</subject><subject>Anticoagulants</subject><subject>Atrial Fibrillation - complications</subject><subject>Cardiac Surgical Procedures - instrumentation</subject><subject>Chronic Disease</subject><subject>Contraindications</subject><subject>Heart Atria - surgery</subject><subject>Heart Diseases - etiology</subject><subject>Heart Diseases - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Robotics</subject><subject>Stroke - etiology</subject><subject>Stroke - prevention & control</subject><subject>Thrombosis - etiology</subject><subject>Thrombosis - surgery</subject><issn>1098-3511</issn><issn>1522-6662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1PwzAMhiMEYmNw5YjyBzrsZHVbbmhiDGkSEh_nKk0TFuiWKckO_Hu6L3GyZb-PJT-M3SKMMZfifv4-q8qxAMgRJ-UZG2IuREZE4rzvoSoz2W8G7CrGbwBBQtAlGyDJsqACh2z55hufnM5UjC4m0_LO2MRVCk51vHNfKjm_5tYHHlPwP4YH0271fujWXC-DXzt9ylvXBNd1e-aBK65V3AEbH9I1u7Cqi-bmWEfsc_b0MZ1ni9fnl-njItNSipQZA4UEqCqVtwVpRRVpaWECRWNgYgVRmROiBYvY9l-TmojGFBVCi9ZII0dsfLirg48xGFtvglup8Fsj1Dtl9V5ZfVLWA3cHYLNtVqb9jx8dyT-6HGfD</recordid><startdate>20060101</startdate><enddate>20060101</enddate><creator>Kiaii, Bob</creator><creator>McClure, R Scott</creator><creator>Skanes, Alan C</creator><creator>Ross, Ian G</creator><creator>Spouge, Alison R</creator><creator>Swinamer, Stuart</creator><creator>Rayman, Reiza</creator><creator>Bainbridge, Daniel T</creator><creator>Iglesias, Ivan</creator><creator>Novick, Richard J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20060101</creationdate><title>Robotic-assisted left atrial ligation for stroke reduction in chronic atrial fibrillation: a case report</title><author>Kiaii, Bob ; McClure, R Scott ; Skanes, Alan C ; Ross, Ian G ; Spouge, Alison R ; Swinamer, Stuart ; Rayman, Reiza ; Bainbridge, Daniel T ; Iglesias, Ivan ; Novick, Richard J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-ee0730099a5d76ca696c3f0407be04f26685611f0f11d0056a42be7910d1fe3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Anticoagulants</topic><topic>Atrial Fibrillation - complications</topic><topic>Cardiac Surgical Procedures - instrumentation</topic><topic>Chronic Disease</topic><topic>Contraindications</topic><topic>Heart Atria - surgery</topic><topic>Heart Diseases - etiology</topic><topic>Heart Diseases - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Robotics</topic><topic>Stroke - etiology</topic><topic>Stroke - prevention & control</topic><topic>Thrombosis - etiology</topic><topic>Thrombosis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kiaii, Bob</creatorcontrib><creatorcontrib>McClure, R Scott</creatorcontrib><creatorcontrib>Skanes, Alan C</creatorcontrib><creatorcontrib>Ross, Ian G</creatorcontrib><creatorcontrib>Spouge, Alison R</creatorcontrib><creatorcontrib>Swinamer, Stuart</creatorcontrib><creatorcontrib>Rayman, Reiza</creatorcontrib><creatorcontrib>Bainbridge, Daniel T</creatorcontrib><creatorcontrib>Iglesias, Ivan</creatorcontrib><creatorcontrib>Novick, Richard J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The Heart surgery forum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kiaii, Bob</au><au>McClure, R Scott</au><au>Skanes, Alan C</au><au>Ross, Ian G</au><au>Spouge, Alison R</au><au>Swinamer, Stuart</au><au>Rayman, Reiza</au><au>Bainbridge, Daniel T</au><au>Iglesias, Ivan</au><au>Novick, Richard J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic-assisted left atrial ligation for stroke reduction in chronic atrial fibrillation: a case report</atitle><jtitle>The Heart surgery forum</jtitle><addtitle>Heart Surg Forum</addtitle><date>2006-01-01</date><risdate>2006</risdate><volume>9</volume><issue>1</issue><spage>E533</spage><epage>E535</epage><pages>E533-E535</pages><issn>1098-3511</issn><eissn>1522-6662</eissn><abstract>Patients with atrial fibrillation are at significant risk for sustaining a thromboembolic stroke. More than 90% of thromboemboli form in the left atrial appendage. Ligation of the left atrial appendage to reduce the risk of stroke is often performed in connection with other cardiac surgical procedures. As a stand-alone procedure, however, left atrial ligation has generally been deemed too invasive and has gained little support as an alternative therapeutic option. We report a case of port-access robotic-assisted left atrial ligation as a stand-alone procedure in a patient with chronic atrial fibrillation in whom anticoagulation was a contraindication. To our knowledge, this is the first reported case of stand-alone robotic-assisted left atrial ligation in the literature.</abstract><cop>United States</cop><pmid>16387671</pmid><doi>10.1532/HSF98.20051148</doi></addata></record> |
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| issn | 1098-3511 1522-6662 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Anticoagulants Atrial Fibrillation - complications Cardiac Surgical Procedures - instrumentation Chronic Disease Contraindications Heart Atria - surgery Heart Diseases - etiology Heart Diseases - surgery Humans Male Minimally Invasive Surgical Procedures Robotics Stroke - etiology Stroke - prevention & control Thrombosis - etiology Thrombosis - surgery |
| title | Robotic-assisted left atrial ligation for stroke reduction in chronic atrial fibrillation: a case report |
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