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
Hauptverfasser: Branzoli, Stefano, Marini, Massimiliano, Guarracini, Fabrizio, Pederzolli, Carlo, D’Onghia, Giovanni, Centonze, Maurizio, Pomarolli, Claudio, Graffigna, Angelo, La Meir, Mark
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container_issue 1
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container_title The Annals of thoracic surgery
container_volume 111
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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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
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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