Interventional occlusion of left atrial appendage in patients with atrial fibrillation. Gender-related outcomes in the German LAARGE Registry.


Journal

Journal of cardiovascular electrophysiology
ISSN: 1540-8167
Titre abrégé: J Cardiovasc Electrophysiol
Pays: United States
ID NLM: 9010756

Informations de publication

Date de publication:
10 2021
Historique:
revised: 01 07 2021
received: 18 04 2021
accepted: 22 07 2021
pubmed: 28 7 2021
medline: 21 10 2021
entrez: 27 7 2021
Statut: ppublish

Résumé

Gender-based differences in atrial fibrillation have been identified, but limited data exist for patients undergoing left atrial appendage occluder (LAAO) implantation. This study reports gender-related periprocedural and 1-year outcomes of the prospective, multicenter German left atrial appendage occlusion registry (LAARGE). LAARGE enrolled 641 patients who were scheduled for LAAO implantation from July 2014 to January 2016 in 38 hospitals in Germany. The data collected included demographics, clinical characteristics, details of implantation, and outcome. Efficacy and safety at 1-year follow-up were assessed by the occurrence of thrombembolic and bleeding events, as well as mortality. Of 638 patients undergoing LAAO implantation 38.9% were female and 61.1% male. Females were older (76.4 ± 8.2 [females] vs. 75.6 ± 7.7 [males], p = .042) and had a higher stroke risk (CHA LAARGE documented in this elderly patient population undergoing LAAO implantation a higher rate of severe periprocedural complications in females. At 1-year follow-up similar efficacy and safety outcomes were observed for both genders.

Identifiants

pubmed: 34314065
doi: 10.1111/jce.15189
doi:

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2636-2644

Informations de copyright

© 2021 Wiley Periodicals LLC.

Références

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Auteurs

Caroline Kleinecke (C)

Department of Cardiology, Klinikum Hochrhein, Waldshut-Tiengen, Germany.
Department of Cardiology, Klinikum Coburg, Coburg, Germany.

Thorsten Lewalter (T)

Department of Cardiology and Intensive Care, Peter Osypka Heart Center Munich, Munich, Germany.

Horst Sievert (H)

Cardiovascular Center Frankfurt, Frankfurt, Germany.

Volker Geist (V)

Department of Cardiology, Klinikum Bad Segeberg, Bad Segeberg, Germany.

Uwe Zeymer (U)

Department of Cardiology, Klinikum Ludwigshafen, Ludwigshafen, Germany.
Institut für Herzinfarktforschung, Ludwigsburg, Germany.

Harald Mudra (H)

Department of Cardiology, Klinikum Neuperlach, Munich, Germany.

Sven Pleger (S)

Department of Cardiology, University Hospital Heidelberg, Heidelberg, Germany.

Matthias Hochadel (M)

Institut für Herzinfarktforschung, Ludwigsburg, Germany.

Jochen Senges (J)

Institut für Herzinfarktforschung, Ludwigsburg, Germany.

Johannes Brachmann (J)

Department of Cardiology, Klinikum Coburg, Coburg, Germany.

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