Real-world experience comparing two common left atrial appendage closure devices.

Abstract:

BACKGROUND:The interventional left atrial appendage closure (LAAC) is a guideline-conform alternative to oral anticoagulation (OAC) in non-valvular atrial fibrillation patients with OAC ineligibility. It was aimed to directly compare two contemporary devices in a real-world patient population. METHODS:LAAC was conducted in two centres between 2010 and 2014 as well as between 2014 and 2017, respectively, in a standard fashion based on the specific manufacturer's recommendations. Baseline characteristics, procedural data and event rates during intra-hospital and 6 months follow-up were registered in a retrospective approach, and analysed in device-related groups. RESULTS:A total of 189 patients presented for LAAC device implantation. Baseline characteristics were mostly evenly distributed. In 148 patients, a Watchman™ device (Boston Scientific, Natick, MA, USA) was successfully implanted, an Amplatzer™ Amulet™ (St. Jude Medical, St. Paul, MN, USA) in 34 patients (96.1 and 97.1%, respectively; p = 1.00). Major access site bleedings were more frequent in the Amplatzer™ Amulet™ group (8.9 versus 1.4%; p = 0.046). No intra-hospital thromboembolic event was present. During 6 months follow-up, peri-device leaks > 5 mm and thromboembolic events were uncommon (each p = n.s.). CONCLUSIONS:While procedural success was equally high with both contemporary devices, complications during follow-up were rare, and evenly distributed.

journal_name

BMC Cardiovasc Disord

authors

Fastner C,Hoffmann L,Aboukoura M,Behnes M,Lang S,Borggrefe M,Akin I,Nienaber CA

doi

10.1186/s12872-018-0899-9

subject

Has Abstract

pub_date

2018-08-20 00:00:00

pages

171

issue

1

issn

1471-2261

pii

10.1186/s12872-018-0899-9

journal_volume

18

pub_type

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