دورية أكاديمية
Management of peri-device leak following left atrial appendage closure: A systematic review.
| العنوان: | Management of peri-device leak following left atrial appendage closure: A systematic review. |
|---|---|
| المؤلفون: | Sleiman JR; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida., Lewis AJ; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida., Perez EJ; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida., Sanchez AM; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida., Baez-Escudero JL; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida., Navia JL; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida., Asher CR; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida., Cubeddu RJ; Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Florida, Weston, Florida. |
| المصدر: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2021 Aug 01; Vol. 98 (2), pp. 382-390. Date of Electronic Publication: 2021 Feb 01. |
| نوع المنشور: | Journal Article; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Wiley-Liss, c1999- |
| مواضيع طبية MeSH: | Atrial Appendage*/diagnostic imaging , Atrial Appendage*/surgery , Cardiac Catheterization*/adverse effects, Aged ; Aged, 80 and over ; Atrial Fibrillation/therapy ; Female ; Humans ; Male ; Middle Aged ; Treatment Outcome |
| مستخلص: | Objective: This study aimed to examine the cumulative experience of peri-device leak (PDL) closure following left atrial appendage (LAA) closure. Background: The management of PDL following LAA closure remains controversial. While PDL closure has been proposed, procedural features and clinical outcomes have not been well established. Methods: A systematic review of all published cases of PDL closure with available anatomical, procedural, and clinical outcomes was performed. Results: We identified 18 indexed publications and 110 cases between April 2013 and March 2020. 71 patients (mean age 72 ± 8 yrs), met study criteria and were included. PDL closure was most common in males, bilobar LAA morphology, and after Watchman procedures. The mean PDL size was 7.6 ± 5.8 mm (range 2-26 mm). Leaks were classified according to size: small (<5 mm; 45%), moderate (≥5-9 mm; 25%), and large (≥10 mm; 30%). Endovascular coils and endovascular plugs were used to close both small and moderate sized leaks, and second LAA closure devices were exclusively used for large PDLs. Successful PDL closure occurred in 90%, and was similar between PDL sizes and types of occluder used. Procedural complication rates were uncommon (2.8%). No strokes were reported following PDL closure at 6 months. Conclusions: In patients with PDL for whom discontinuation of OAC may be considered unsafe, percutaneous closure using a tailored approach with either endovascular coils, plugs, or second occluder represents a safe, and feasible alternative associated with favorable clinical outcomes. (© 2021 Wiley Periodicals LLC.) |
| التعليقات: | Comment in: Catheter Cardiovasc Interv. 2021 Aug 1;98(2):391-392. (PMID: 34369061) |
| References: | Yarlagadda B, Parikh V, Dar T, Lakkireddy D. Leaks after left atrial appendage ligation with lariat device: incidence, pathophysiology, clinical implications and methods of closure-a case based discussion. J Atr Fibrillation. 2017;10(3):1725. Alkhouli M, Alqahtani F, Kazienko B, Olgers K, Sengupta PP. Percutaneous closure of peridevice leak after left atrial appendage occlusion. JACC Cardiovasc Interv. 2018;11(11):e83-e85. https://doi.org/10.1016/j.jcin.2018.01.250. Freixa X, Abualsaud A, Chan J, et al. Left atrial appendage occlusion: initial experience with the Amplatzer™ amulet™. Int J Cardiol. 2014;174(3):492-496. https://doi.org/10.1016/j.ijcard.2014.03.154. Sharma SP, Park P, Lakkireddy D. Left atrial appendages occlusion: current status and prospective. Korean Circ J. 2018;48(8):692-704. https://doi.org/10.4070/kcj.2018.0231. Alkhouli M, Chaker Z, Al-Hajji M, Sengupta PP. Management of peridevice leak following left atrial appendage occlusion. JACC Clin Electrophysiol. 2018;4(7):967-969. https://doi.org/10.1016/j.jacep.2018.02.020. Saw J, Tzikas A, Shakir S, et al. Incidence and clinical impact of device-associated thrombus and peri-device leak following left atrial appendage closure with the Amplatzer cardiac plug. J Am Coll Cardiol Intv. 2017;10:391-399. Viles-Gonzalez JF, Kar S, Douglas P, et al. The clinical impact of incomplete left atrial appendage closure with the Watchman Device in patients with atrial fibrillation: a PROTECT AF (Percutaneous Closure of the Left Atrial Appendage Versus Warfarin Therapy for Prevention of Stroke in Patients With Atrial Fibrillation) substudy. J Am Coll Cardiol. 2012;59(10):923. Pillai AM, Kanmanthareddy A, Earnest M, et al. Initial experience with post lariat left atrial appendage leak closure with Amplatzer septal occluder device and repeat lariat application. Heart Rhythm. 2014;11(11):1877-1883. https://doi.org/10.1016/j.hrthm.2014.06.035. Sick PB, Schuler G, Hauptmann KE, et al. Initial worldwide experience with the WATCHMAN left atrial appendage system for stroke prevention in atrial fibrillation. J Am Coll Cardiol. 2007;49(13):1490-1495. https://doi.org/10.1016/j.jacc.2007.02.035. Hornung M, Gafoor S, Id D, et al. Catheter-based closure of residual leaks after percutaneous occlusion of the left atrial appendage. Catheter Cardiovasc Interv. 2016;87(7):1324-1330. https://doi.org/10.1002/ccd.26318. Di Biase L, Santangeli P, Anselmino M, et al. Does the left atrial appendage morphology correlate with the risk of stroke in patients with atrial fibrillation? Results from a Multicenter Study J Am Coll Cardiol. 2012;60(6):531-538. Wunderlich N, Wilson N, Sievert H. A novel approach to treat residual peridevice leakage after left-atrial appendage closure. Catheter Cardiovasc Interv. 2013;82(2):313-319. https://doi.org/10.1002/ccd.23014. Guérios ÊE, Gloekler S, Schmid M, Khattab A, Nietlispach F, Meier B. Double device left atrial appendage closure. EuroIntervention. 2015;11(4):470-476. https://doi.org/10.4244/EIJY14M07_03. Mosley WJ, Smith MR, Price MJ. Percutaneous management of late leak after lariat transcatheter ligation of the left atrial appendage in patients with atrial fibrillation at high risk for stroke. Catheter Cardiovasc Interv. 2014;83(4):664-669. Della Rocca DG, Horton RP, Di Biase L, et al. First experience of Transcatheter leak occlusion with detachable coils following left atrial appendage closure. JACC Cardiovasc Interv. 2020;13(3):306-319. https://doi.org/10.1016/j.jcin.2019.10.022. Soni K, Kesarwani M, Badhwar N, Mahadevan VS. Percutaneous closure of a residual left atrial appendage leak after lariat procedure. JACC Cardiovasc Interv. 2015;8(7):998-1000. https://doi.org/10.1016/j.jcin.2015.03.019. Yeow WL, Matsumoto T, Kar S. Successful closure of residual leak following LARIAT procedure in a patient with high risk of stroke and hemorrhage. Catheter Cardiovasc Interv. 2014;83(4):661-663. https://doi.org/10.1002/ccd.25219. Jiang L, Duenninger E, Muenzel M, et al. Percutaneous left atrial appendage closure with complex anatomy by using the staged ''kissing-watchman'' technology with double devices. Int J Cardiol. 2018;265:58-61. https://doi.org/10.1016/j.ijcard.2018.05.007. Xia L, Liu Y, Tao L. Kissing-watchman technique applied in single-lobulated left atrial appendage anatomy with giant ostia. Cardiol J. 2020;27(1):78-80. https://doi.org/10.5603/cj.a2019.0070. Zeng J, Lu C, Huang H. Sealing a multilobe left atrial appendage with kissing-watchman technique. J Invasive Cardiol. 2020;32(1):E17. Bellmann B, Kleinecke C, Brachmann J, Park JW. Sealing a large double lobe left atrial appendage with two Occlutech occluders. Cardiol J. 2018;25(1):142-143. https://doi.org/10.5603/CJ.2018.0010. Belgaid DR, Khan Z, Zaidi M, Hobbs A. Prospective randomized evaluation of the watchman left atrial appendage closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial. Int J Cardiol. 2016;219:177-179. Reddy VY, Holmes D, Doshi SK, Neuzil P, Kar S. Safety of percutaneous left atrial appendage closure: results from the Watchman Left Atrial Appendage System for Embolic Protection in Patients with AF (PROTECT AF) clinical trial and the Continued Access Reg. Circulation. 2011;123(4):417-424. |
| فهرسة مساهمة: | Keywords: incomplete closure; left atrial appendage closure; peri-device leak; systematic review; watchman |
| تواريخ الأحداث: | Date Created: 20210201 Date Completed: 20211019 Latest Revision: 20220531 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1002/ccd.29495 |
| PMID: | 33522672 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1522-726X |
|---|---|
| DOI: | 10.1002/ccd.29495 |