Standalone Totally Thoracoscopic Left Appendage Clipping: Safe, Simple, Standardized
Totally thoracoscopic standalone left atrial appendage exclusion has become a valid treatment option for stroke prevention in patients with a contraindication to anticoagulants. As with most other video-assisted surgeries, this procedure requires appropriate patient and port positioning to obtain th...
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Veröffentlicht in: | The Annals of thoracic surgery 2021-01, Vol.111 (1), p.e61-e63 |
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container_title | The Annals of thoracic surgery |
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creator | Branzoli, Stefano Marini, Massimiliano Guarracini, Fabrizio Pederzolli, Carlo D’Onghia, Giovanni Centonze, Maurizio Pomarolli, Claudio Graffigna, Angelo La Meir, Mark |
description | Totally thoracoscopic standalone left atrial appendage exclusion has become a valid treatment option for stroke prevention in patients with a contraindication to anticoagulants. As with most other video-assisted surgeries, this procedure requires appropriate patient and port positioning to obtain the most advantageous working angles and standard thoracoscopic skills. Furthermore it is mandatory to have a closure device specifically designed for the appendage to guarantee efficacy and safety and to optimize surgical placement that allows the best clinical outcomes. Here we describe the surgical technique of a unilateral left-sided thoracoscopic approach for surgical exclusion of the appendage on the beating heart. |
doi_str_mv | 10.1016/j.athoracsur.2020.04.130 |
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Here we describe the surgical technique of a unilateral left-sided thoracoscopic approach for surgical exclusion of the appendage on the beating heart.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2020.04.130</identifier><identifier>PMID: 32569667</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Atrial Appendage - surgery ; Atrial Fibrillation - complications ; Atrial Fibrillation - surgery ; Cardiac Surgical Procedures - methods ; Cardiac Surgical Procedures - standards ; Humans ; Stroke - prevention & control ; Thoracoscopy - methods</subject><ispartof>The Annals of thoracic surgery, 2021-01, Vol.111 (1), p.e61-e63</ispartof><rights>2021 The Society of Thoracic Surgeons</rights><rights>Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. 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Here we describe the surgical technique of a unilateral left-sided thoracoscopic approach for surgical exclusion of the appendage on the beating heart.</description><subject>Atrial Appendage - surgery</subject><subject>Atrial Fibrillation - complications</subject><subject>Atrial Fibrillation - surgery</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Cardiac Surgical Procedures - standards</subject><subject>Humans</subject><subject>Stroke - prevention & control</subject><subject>Thoracoscopy - methods</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EglL4BZQlCxL8ipOwg4qXVIlFy9py7XFxlcbBTpHg63EpjyWr0WjO3NEchDKCC4KJuFwVanjxQem4CQXFFBeYF4ThPTQiZUlzQctmH40wxiznTVUeoeMYV6mlaXyIjhgtRSNENULz2aA6o1rfQTb3g2rb92z-Fe2j9r3T2RTskF33PSRsCdmkdX3vuuVVNlMWLrKZW_fttn7lBOM-wJygA6vaCKffdYye727nk4d8-nT_OLme5ppzPuSKkUo3TNcLanVtFgwzsrBKVaSpbcVJGgE1Sglaa2qxbmrTVIIygqEBLiwbo_Ndbh_86wbiINcuamhb1YHfREk5EXQbRBJa71AdfIwBrOyDW6vwLgmWW6dyJf-cyq1TiblMTtPq2feVzWIN5nfxR2ICbnYApF_fHAQZtYNOg3EB9CCNd_9f-QT8vY2J</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Branzoli, Stefano</creator><creator>Marini, Massimiliano</creator><creator>Guarracini, Fabrizio</creator><creator>Pederzolli, Carlo</creator><creator>D’Onghia, Giovanni</creator><creator>Centonze, Maurizio</creator><creator>Pomarolli, Claudio</creator><creator>Graffigna, Angelo</creator><creator>La Meir, Mark</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210101</creationdate><title>Standalone Totally Thoracoscopic Left Appendage Clipping: Safe, Simple, Standardized</title><author>Branzoli, Stefano ; Marini, Massimiliano ; Guarracini, Fabrizio ; Pederzolli, Carlo ; D’Onghia, Giovanni ; Centonze, Maurizio ; Pomarolli, Claudio ; Graffigna, Angelo ; La Meir, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-a317c93c8b2fc8db3031bfaa7198f74193ce2daa628c2f0c98d9762310e9e46f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Atrial Appendage - surgery</topic><topic>Atrial Fibrillation - complications</topic><topic>Atrial Fibrillation - surgery</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Cardiac Surgical Procedures - standards</topic><topic>Humans</topic><topic>Stroke - prevention & control</topic><topic>Thoracoscopy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Branzoli, Stefano</creatorcontrib><creatorcontrib>Marini, Massimiliano</creatorcontrib><creatorcontrib>Guarracini, Fabrizio</creatorcontrib><creatorcontrib>Pederzolli, Carlo</creatorcontrib><creatorcontrib>D’Onghia, Giovanni</creatorcontrib><creatorcontrib>Centonze, Maurizio</creatorcontrib><creatorcontrib>Pomarolli, Claudio</creatorcontrib><creatorcontrib>Graffigna, Angelo</creatorcontrib><creatorcontrib>La Meir, Mark</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Branzoli, Stefano</au><au>Marini, Massimiliano</au><au>Guarracini, Fabrizio</au><au>Pederzolli, Carlo</au><au>D’Onghia, Giovanni</au><au>Centonze, Maurizio</au><au>Pomarolli, Claudio</au><au>Graffigna, Angelo</au><au>La Meir, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Standalone Totally Thoracoscopic Left Appendage Clipping: Safe, Simple, Standardized</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>111</volume><issue>1</issue><spage>e61</spage><epage>e63</epage><pages>e61-e63</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Totally thoracoscopic standalone left atrial appendage exclusion has become a valid treatment option for stroke prevention in patients with a contraindication to anticoagulants. 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subjects | Atrial Appendage - surgery Atrial Fibrillation - complications Atrial Fibrillation - surgery Cardiac Surgical Procedures - methods Cardiac Surgical Procedures - standards Humans Stroke - prevention & control Thoracoscopy - methods |
title | Standalone Totally Thoracoscopic Left Appendage Clipping: Safe, Simple, Standardized |
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