SCAI/HRS expert consensus statement on transcatheter left atrial appendage closure
Exclusion of the left atrial appendage to reduce thromboembolic risk related to atrial fibrillation was first performed surgically in 1949. Over the past 2 decades, the field of transcatheter endovascular left atrial appendage closure (LAAC) has rapidly expanded, with a myriad of devices approved or...
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| Veröffentlicht in: | Heart rhythm 2023-05, Vol.20 (5), p.e1-e16 |
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| creator | Saw, Jacqueline Holmes, David R. Cavalcante, João L. Freeman, James V. Goldsweig, Andrew M. Kavinsky, Clifford J. Moussa, Issam D. Munger, Thomas M. Price, Matthew J. Reisman, Mark Sherwood, Matthew William Turi, Zoltan G. Wang, Dee Dee Whisenant, Brian K. |
| description | Exclusion of the left atrial appendage to reduce thromboembolic risk related to atrial fibrillation was first performed surgically in 1949. Over the past 2 decades, the field of transcatheter endovascular left atrial appendage closure (LAAC) has rapidly expanded, with a myriad of devices approved or in clinical development. The number of LAAC procedures performed in the United States and worldwide has increased exponentially since the Food and Drug Administration approval of the WATCHMAN (Boston Scientific) device in 2015. The Society for Cardiovascular Angiography & Interventions (SCAI) has previously published statements in 2015 and 2016 providing societal overview of the technology and institutional and operator requirements for LAAC. Since then, results from several important clinical trials and registries have been published, technical expertise and clinical practice have matured over time, and the device and imaging technologies have evolved. Therefore, SCAI prioritized the development of an updated consensus statement to provide recommendations on contemporary, evidence-based best practices for transcatheter LAAC focusing on endovascular devices. |
| doi_str_mv | 10.1016/j.hrthm.2023.01.007 |
| format | Article |
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Over the past 2 decades, the field of transcatheter endovascular left atrial appendage closure (LAAC) has rapidly expanded, with a myriad of devices approved or in clinical development. The number of LAAC procedures performed in the United States and worldwide has increased exponentially since the Food and Drug Administration approval of the WATCHMAN (Boston Scientific) device in 2015. The Society for Cardiovascular Angiography & Interventions (SCAI) has previously published statements in 2015 and 2016 providing societal overview of the technology and institutional and operator requirements for LAAC. Since then, results from several important clinical trials and registries have been published, technical expertise and clinical practice have matured over time, and the device and imaging technologies have evolved. Therefore, SCAI prioritized the development of an updated consensus statement to provide recommendations on contemporary, evidence-based best practices for transcatheter LAAC focusing on endovascular devices.</description><identifier>ISSN: 1547-5271</identifier><identifier>EISSN: 1556-3871</identifier><identifier>DOI: 10.1016/j.hrthm.2023.01.007</identifier><identifier>PMID: 36990925</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Angiography ; Atrial Appendage - diagnostic imaging ; Atrial Appendage - surgery ; Atrial Fibrillation - complications ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - surgery ; CHA2DS2-VASc ; Device-related thrombus ; Embolic stroke prevention ; Humans ; Left atrial appendage closure ; Non-valvular atrial fibrillation ; Peridevice leak ; Stroke - etiology ; Stroke - prevention & control ; Thromboembolism ; Treatment Outcome</subject><ispartof>Heart rhythm, 2023-05, Vol.20 (5), p.e1-e16</ispartof><rights>2023 Society for Cardiovascular Angiography and Interventions Foundation, Heart Rhythm Society and American College of Cardiology</rights><rights>Copyright © 2023 Society for Cardiovascular Angiography and Interventions Foundation, Heart Rhythm Society and American College of Cardiology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-3de10c70fc7b5a6453b99ae423e19a9d03993bdbcc239363659d7c47319f37b93</citedby><cites>FETCH-LOGICAL-c404t-3de10c70fc7b5a6453b99ae423e19a9d03993bdbcc239363659d7c47319f37b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.hrthm.2023.01.007$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36990925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saw, Jacqueline</creatorcontrib><creatorcontrib>Holmes, David R.</creatorcontrib><creatorcontrib>Cavalcante, João L.</creatorcontrib><creatorcontrib>Freeman, James V.</creatorcontrib><creatorcontrib>Goldsweig, Andrew M.</creatorcontrib><creatorcontrib>Kavinsky, Clifford J.</creatorcontrib><creatorcontrib>Moussa, Issam D.</creatorcontrib><creatorcontrib>Munger, Thomas M.</creatorcontrib><creatorcontrib>Price, Matthew J.</creatorcontrib><creatorcontrib>Reisman, Mark</creatorcontrib><creatorcontrib>Sherwood, Matthew William</creatorcontrib><creatorcontrib>Turi, Zoltan G.</creatorcontrib><creatorcontrib>Wang, Dee Dee</creatorcontrib><creatorcontrib>Whisenant, Brian K.</creatorcontrib><title>SCAI/HRS expert consensus statement on transcatheter left atrial appendage closure</title><title>Heart rhythm</title><addtitle>Heart Rhythm</addtitle><description>Exclusion of the left atrial appendage to reduce thromboembolic risk related to atrial fibrillation was first performed surgically in 1949. Over the past 2 decades, the field of transcatheter endovascular left atrial appendage closure (LAAC) has rapidly expanded, with a myriad of devices approved or in clinical development. The number of LAAC procedures performed in the United States and worldwide has increased exponentially since the Food and Drug Administration approval of the WATCHMAN (Boston Scientific) device in 2015. The Society for Cardiovascular Angiography & Interventions (SCAI) has previously published statements in 2015 and 2016 providing societal overview of the technology and institutional and operator requirements for LAAC. Since then, results from several important clinical trials and registries have been published, technical expertise and clinical practice have matured over time, and the device and imaging technologies have evolved. Therefore, SCAI prioritized the development of an updated consensus statement to provide recommendations on contemporary, evidence-based best practices for transcatheter LAAC focusing on endovascular devices.</description><subject>Angiography</subject><subject>Atrial Appendage - diagnostic imaging</subject><subject>Atrial Appendage - surgery</subject><subject>Atrial Fibrillation - complications</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - surgery</subject><subject>CHA2DS2-VASc</subject><subject>Device-related thrombus</subject><subject>Embolic stroke prevention</subject><subject>Humans</subject><subject>Left atrial appendage closure</subject><subject>Non-valvular atrial fibrillation</subject><subject>Peridevice leak</subject><subject>Stroke - etiology</subject><subject>Stroke - prevention & control</subject><subject>Thromboembolism</subject><subject>Treatment Outcome</subject><issn>1547-5271</issn><issn>1556-3871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0E4lH4AiTkJZuEsZ3EeMGiqoBWqoTUwtpynAlNlRe2g-DvSSmwZDWzOHeu5hByySBmwLKbbbxxYdPEHLiIgcUA8oCcsjTNInEr2eFuT2SUcslOyJn3WwCuMhDH5ERkSoHi6SlZrWfTxc18tab40aML1Hatx9YPnvpgAjbYBtq1NDjTemvCBgM6WmMZqAmuMjU1fY9tYV6R2rrzg8NzclSa2uPFz5yQl4f759k8Wj49LmbTZWQTSEIkCmRgJZRW5qnJklTkShlMuECmjCpAKCXyIreWCyUykaWqkDaRgqlSyFyJCbne3-1d9zagD7qpvMW6Ni12g9dcKq6AMw4jKvaodZ33Dkvdu6ox7lMz0DuZequ_ZeqdTA1MjzLH1NVPwZA3WPxlfu2NwN0ewPHN9wqd9rbC1mJRObRBF131b8EXfiyGnA</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Saw, Jacqueline</creator><creator>Holmes, David R.</creator><creator>Cavalcante, João L.</creator><creator>Freeman, James V.</creator><creator>Goldsweig, Andrew M.</creator><creator>Kavinsky, Clifford J.</creator><creator>Moussa, Issam D.</creator><creator>Munger, Thomas M.</creator><creator>Price, Matthew J.</creator><creator>Reisman, Mark</creator><creator>Sherwood, Matthew William</creator><creator>Turi, Zoltan G.</creator><creator>Wang, Dee Dee</creator><creator>Whisenant, Brian K.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><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>202305</creationdate><title>SCAI/HRS expert consensus statement on transcatheter left atrial appendage closure</title><author>Saw, Jacqueline ; Holmes, David R. ; Cavalcante, João L. ; Freeman, James V. ; Goldsweig, Andrew M. ; Kavinsky, Clifford J. ; Moussa, Issam D. ; Munger, Thomas M. ; Price, Matthew J. ; Reisman, Mark ; Sherwood, Matthew William ; Turi, Zoltan G. ; Wang, Dee Dee ; Whisenant, Brian K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-3de10c70fc7b5a6453b99ae423e19a9d03993bdbcc239363659d7c47319f37b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Angiography</topic><topic>Atrial Appendage - diagnostic imaging</topic><topic>Atrial Appendage - surgery</topic><topic>Atrial Fibrillation - complications</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - surgery</topic><topic>CHA2DS2-VASc</topic><topic>Device-related thrombus</topic><topic>Embolic stroke prevention</topic><topic>Humans</topic><topic>Left atrial appendage closure</topic><topic>Non-valvular atrial fibrillation</topic><topic>Peridevice leak</topic><topic>Stroke - etiology</topic><topic>Stroke - prevention & control</topic><topic>Thromboembolism</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saw, Jacqueline</creatorcontrib><creatorcontrib>Holmes, David R.</creatorcontrib><creatorcontrib>Cavalcante, João L.</creatorcontrib><creatorcontrib>Freeman, James V.</creatorcontrib><creatorcontrib>Goldsweig, Andrew M.</creatorcontrib><creatorcontrib>Kavinsky, Clifford J.</creatorcontrib><creatorcontrib>Moussa, Issam D.</creatorcontrib><creatorcontrib>Munger, Thomas M.</creatorcontrib><creatorcontrib>Price, Matthew J.</creatorcontrib><creatorcontrib>Reisman, Mark</creatorcontrib><creatorcontrib>Sherwood, Matthew William</creatorcontrib><creatorcontrib>Turi, Zoltan G.</creatorcontrib><creatorcontrib>Wang, Dee Dee</creatorcontrib><creatorcontrib>Whisenant, Brian K.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><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>Heart rhythm</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saw, Jacqueline</au><au>Holmes, David R.</au><au>Cavalcante, João L.</au><au>Freeman, James V.</au><au>Goldsweig, Andrew M.</au><au>Kavinsky, Clifford J.</au><au>Moussa, Issam D.</au><au>Munger, Thomas M.</au><au>Price, Matthew J.</au><au>Reisman, Mark</au><au>Sherwood, Matthew William</au><au>Turi, Zoltan G.</au><au>Wang, Dee Dee</au><au>Whisenant, Brian K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SCAI/HRS expert consensus statement on transcatheter left atrial appendage closure</atitle><jtitle>Heart rhythm</jtitle><addtitle>Heart Rhythm</addtitle><date>2023-05</date><risdate>2023</risdate><volume>20</volume><issue>5</issue><spage>e1</spage><epage>e16</epage><pages>e1-e16</pages><issn>1547-5271</issn><eissn>1556-3871</eissn><abstract>Exclusion of the left atrial appendage to reduce thromboembolic risk related to atrial fibrillation was first performed surgically in 1949. Over the past 2 decades, the field of transcatheter endovascular left atrial appendage closure (LAAC) has rapidly expanded, with a myriad of devices approved or in clinical development. The number of LAAC procedures performed in the United States and worldwide has increased exponentially since the Food and Drug Administration approval of the WATCHMAN (Boston Scientific) device in 2015. The Society for Cardiovascular Angiography & Interventions (SCAI) has previously published statements in 2015 and 2016 providing societal overview of the technology and institutional and operator requirements for LAAC. Since then, results from several important clinical trials and registries have been published, technical expertise and clinical practice have matured over time, and the device and imaging technologies have evolved. Therefore, SCAI prioritized the development of an updated consensus statement to provide recommendations on contemporary, evidence-based best practices for transcatheter LAAC focusing on endovascular devices.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36990925</pmid><doi>10.1016/j.hrthm.2023.01.007</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Angiography Atrial Appendage - diagnostic imaging Atrial Appendage - surgery Atrial Fibrillation - complications Atrial Fibrillation - diagnosis Atrial Fibrillation - surgery CHA2DS2-VASc Device-related thrombus Embolic stroke prevention Humans Left atrial appendage closure Non-valvular atrial fibrillation Peridevice leak Stroke - etiology Stroke - prevention & control Thromboembolism Treatment Outcome |
| title | SCAI/HRS expert consensus statement on transcatheter left atrial appendage closure |
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