Left atrial appendage occlusion in patients older than 85 years. Safety and efficacy in the EWOLUTION registry.
Age Factors
Aged
Aged, 80 and over
Atrial Appendage
/ surgery
Atrial Fibrillation
/ complications
Cardiac Catheterization
/ methods
Europe
/ epidemiology
Female
Follow-Up Studies
Humans
Incidence
Male
Prospective Studies
Registries
Septal Occluder Device
Stroke
/ epidemiology
Survival Rate
/ trends
Time Factors
Treatment Outcome
Ancianos
Cierre de la orejuela izquierda
Efficacy
Eficacia
Elderly
Left atrial appendage occlusion
Safety
Seguridad
Journal
Revista espanola de cardiologia (English ed.)
ISSN: 1885-5857
Titre abrégé: Rev Esp Cardiol (Engl Ed)
Pays: Spain
ID NLM: 101587954
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
12
11
2018
accepted:
14
02
2019
pubmed:
9
4
2019
medline:
23
1
2020
entrez:
9
4
2019
Statut:
ppublish
Résumé
Elderly patients with atrial fibrillation are at greater risk of both cardioembolic events and major bleeding than younger patients. Left atrial appendage occlusion (LAAO) could be an attractive alternative for these patients, but there are limited data on outcomes with LAAO in patients ≥ 85 years old. The aim of the present study was to assess the safety and efficacy of LAAO in patients ≥ 85 years old. A total of 1025 patients included in the EWOLUTION registry who underwent LAAO were analyzed and 84 patients ≥ 85 years old were identified and compared with the younger cohort. Patients ≥ 85 years old had higher estimated stroke and hemorrhagic risks than younger patients (CHA LAAO in patients ≥ 85 years is safe and effective even though these patients are at high risk for embolic and hemorrhagic events. LAAO may be a reasonable alternative to oral anticoagulation in these patients.
Identifiants
pubmed: 30956034
pii: S1885-5857(19)30047-7
doi: 10.1016/j.rec.2019.02.008
pii:
doi:
Types de publication
Comparative Study
Journal Article
Multicenter Study
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
21-27Informations de copyright
Copyright © 2019 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.