Indications and Outcome in Patients Undergoing Left Atrial Appendage Closure-The Austrian LAAC Registry.

atrial fibrillation bleeding left atrial appendage registry stroke

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
13 Oct 2020
Historique:
received: 21 09 2020
revised: 06 10 2020
accepted: 10 10 2020
entrez: 17 10 2020
pubmed: 18 10 2020
medline: 18 10 2020
Statut: epublish

Résumé

Complete real-world data on the indications and outcomes of left atrial appendage closure (LAAC) outside of clinical trials are rare. In this study, we stratified patients undergoing LAAC by indication groups. This analysis of the national multicentre Austrian LAAC Registry comprised all patients that underwent LAAC up until 2018 at the currently active centres in Austria. The baseline characteristics, procedural details and outcomes between the following indication groups were compared: bleeding as an indication for LAAC ("bleeding" group) vs. thromboembolism despite oral anticoagulation (OAC; "thromboembolism" group) vs. an intolerance to OAC for reasons other than the above ("other" group). The analysis included 186 patients, with 59.7% in the "bleeding" group, 8.1% in the "thromboembolism" group and 32.2% in the "other" group. The CHADS In routine clinical practice, LAAC was used in a heterogeneous patient population with atrial fibrillation (AF) and contraindication, inefficacy or intolerance to OAC. The long-term outcome was favourable in all groups.

Sections du résumé

BACKGROUND BACKGROUND
Complete real-world data on the indications and outcomes of left atrial appendage closure (LAAC) outside of clinical trials are rare. In this study, we stratified patients undergoing LAAC by indication groups.
METHODS METHODS
This analysis of the national multicentre Austrian LAAC Registry comprised all patients that underwent LAAC up until 2018 at the currently active centres in Austria. The baseline characteristics, procedural details and outcomes between the following indication groups were compared: bleeding as an indication for LAAC ("bleeding" group) vs. thromboembolism despite oral anticoagulation (OAC; "thromboembolism" group) vs. an intolerance to OAC for reasons other than the above ("other" group).
RESULTS RESULTS
The analysis included 186 patients, with 59.7% in the "bleeding" group, 8.1% in the "thromboembolism" group and 32.2% in the "other" group. The CHADS
CONCLUSIONS CONCLUSIONS
In routine clinical practice, LAAC was used in a heterogeneous patient population with atrial fibrillation (AF) and contraindication, inefficacy or intolerance to OAC. The long-term outcome was favourable in all groups.

Identifiants

pubmed: 33066034
pii: jcm9103274
doi: 10.3390/jcm9103274
pmc: PMC7600032
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Boston Scientific Corporation
ID : (no grant number available)

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Auteurs

David Zweiker (D)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.
Third Department for Cardiology and Intensive Care, Klinik Ottakring, 1160 Vienna, Austria.

Raphael Sieghartsleitner (R)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.

Lukas Fiedler (L)

Department of Internal Medicine, Cardiology and Nephrology, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.

Gabor G Toth (GG)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.

Olev Luha (O)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.

Guenter Stix (G)

Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria.

Harald Gabriel (H)

Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria.

Paul Vock (P)

Department of Internal Medicine III, University Hospital St. Pölten, 3100 St. Pölten, Austria.

Brigitte Lileg (B)

Department of Internal Medicine III, University Hospital St. Pölten, 3100 St. Pölten, Austria.

Andreas Strouhal (A)

Department of Cardiology, Hospital Nord-Klinik Floridsdorf, 1210 Vienna, Austria.

Geort Delle-Karth (G)

Department of Cardiology, Hospital Nord-Klinik Floridsdorf, 1210 Vienna, Austria.

Michael Pfeffer (M)

Department of Internal Medicine, Cardiology and Nephrology, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.

Josef Aichinger (J)

Department of Internal Medicine II, Elisabethinen Hospital, 4020 Linz, Austria.

Wolfgang Tkalec (W)

Department of Internal Medicine II, Elisabethinen Hospital, 4020 Linz, Austria.

Clemens Steinwender (C)

Department of Cardiology, Kepler University Hospital, 4020 Linz, Austria.

Kurt Sihorsch (K)

Department of Cardiology, Kepler University Hospital, 4020 Linz, Austria.

Ronald K Binder (RK)

Department of Internal Medicine II, Klinikum Wels-Grieskirchen, 4600 Wels, Austria.

Martin Rammer (M)

Department of Internal Medicine II, Klinikum Wels-Grieskirchen, 4600 Wels, Austria.

Fabian Barbieri (F)

Department of Internal Medicine III, Medical University of Innsbruck, 6020 Innsbruck, Austria.

Silvana Mueller (S)

Department of Internal Medicine III, Medical University of Innsbruck, 6020 Innsbruck, Austria.

Nicolas Verheyen (N)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.

Klemens Ablasser (K)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.

Andreas Zirlik (A)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.

Daniel Scherr (D)

Department of Cardiology, Medical University of Graz, 8036 Graz, Austria.
Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, 6229 ER Maastricht, The Netherlands.

Classifications MeSH