TY - JOUR
T1 - Percutaneous left atrial appendage closure in AF using Amplatzer Cardiac Plug
T2 - First single center experience from India
AU - Shetty, Ranjan K.
AU - Naveen Chandra, G. S.
AU - Agarwal, Sumit
AU - Nayak, Krishnananda
AU - Sudhakar Rao, M.
N1 - Publisher Copyright:
© 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background Atrial fibrillation (AF) is one of the most common arrhythmias accounting for significant mortality and morbidity, especially in elderly. Though oral anticoagulation (OAC) is an effective mode of prevention of stroke in patients of AF, bleeding complication remains a major concern. Because of these issues, a significant proportion of patients either does not receive or receive suboptimal doses of OAC. Methods In such patients, percutaneous left atrial appendage (LAA) closure remains an interesting option. Experience and literature of this procedure from India have been sparse. We report the first single center experience, from India, of percutaneous LAA closure with Amplatzer Cardiac Plug in 10 patients of non-valvular AF. These patients had contraindications for OAC or had high risk of bleeding or labile international normalized ratio (INR) on therapy. Results We successfully deployed the devices in all of the cases with no major complications perioperatively and on short-term follow-up. We also report a comprehensive review on the technique of percutaneous LAA closure using Amplatzer Cardiac Plug, including some novel modification with our experience of doing percutaneous mitral balloon valvuloplasty.
AB - Background Atrial fibrillation (AF) is one of the most common arrhythmias accounting for significant mortality and morbidity, especially in elderly. Though oral anticoagulation (OAC) is an effective mode of prevention of stroke in patients of AF, bleeding complication remains a major concern. Because of these issues, a significant proportion of patients either does not receive or receive suboptimal doses of OAC. Methods In such patients, percutaneous left atrial appendage (LAA) closure remains an interesting option. Experience and literature of this procedure from India have been sparse. We report the first single center experience, from India, of percutaneous LAA closure with Amplatzer Cardiac Plug in 10 patients of non-valvular AF. These patients had contraindications for OAC or had high risk of bleeding or labile international normalized ratio (INR) on therapy. Results We successfully deployed the devices in all of the cases with no major complications perioperatively and on short-term follow-up. We also report a comprehensive review on the technique of percutaneous LAA closure using Amplatzer Cardiac Plug, including some novel modification with our experience of doing percutaneous mitral balloon valvuloplasty.
UR - http://www.scopus.com/inward/record.url?scp=84952876533&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84952876533&partnerID=8YFLogxK
U2 - 10.1016/j.ihj.2015.07.011
DO - 10.1016/j.ihj.2015.07.011
M3 - Article
C2 - 26688150
AN - SCOPUS:84952876533
SN - 0019-4832
VL - 67
SP - S35-S39
JO - Indian Heart Journal
JF - Indian Heart Journal
ER -