Left atrial appendage closure: a balanced management of the thromboembolic risk in patients with hemophilia and atrial fibrillation

AbstractAtrial fibrillation is the most common cardiac arrhythmia and is a major cause of embolic stroke. In patients at high bleeding risk such as those with hemophilia, the thromboembolic prevention is challenging. We herein present three patients affected by moderate to severe hemophilia and atrial fibrillation that were treated in our Institution between March 2018 and September 2019, with percutaneous left atrial appendage closure. In patients with relative or absolute contraindications to long-term anticoagulant therapy, the left atrial appendage closure could represent a reasonable strategy.
Source: Journal of Thrombosis and Thrombolysis - Category: Hematology Source Type: research

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Source: Arquivos de Neuro-Psiquiatria - Category: Neurology Source Type: research
Conclusion: Plasma levels of adiponectin are associated with the ASPECTS scores.RESUMO Introdu ção: A Alberta Stroke Early Score (ASPECTS) foi desenvolvida para monitorização de alterações isquêmicas precoces na tomografia computadorizada de crânio, estando associada a desfechos clínicos. A ASPECTS também pode se associar aos biomarcadores periféricos que refletem a resposta fisio patológica do cérebro ao AVC isquêmico. Objetivo: Investigar à associação entre os parâmetros periféricos com a Alber...
Source: Arquivos de Neuro-Psiquiatria - Category: Neurology Source Type: research
CONCLUSION: We report the successful management of anesthesia without lethal arrhythmia in a patient with ARVC and an ICD. An adequate amount of analgesia should be administered during general anesthesia to maintain adequate anesthetic depth and to avoid stress and pain. PMID: 32473832 [PubMed - as supplied by publisher]
Source: Revista Brasileira de Anestesiologia - Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research
Conclusions Although ablation of CTI-dependent atrial flutter is a safe and effective procedure, 50% of the patients developed AF after the procedure. However, the role of combined ablation (CTI-dependent atrial flutter plus AF) aiming at preventing AF is still uncertain. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0)
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
Conclusions Although ablation of CTI-dependent atrial flutter is a safe and effective procedure, 50% of the patients developed AF after the procedure. However, the role of combined ablation (CTI-dependent atrial flutter plus AF) aiming at preventing AF is still uncertain. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0)
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
June 1, 2020 -- AstraZeneca’s Brilinta (ticagrelor) has been approved in the US to reduce the risk of a first heart attack or stroke in high-risk patients with coronary artery disease (CAD), the most common type of heart disease. The approval...
Source: Drugs.com - New Drug Approvals - Category: Drugs & Pharmacology Source Type: news
The new indication is based on the THEMIS trial, which entered patients with CAD and type 2 diabetes without previous MI or stroke and showed clinical benefit, but also bleeding concerns.FDA Approvals
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Cardiology News Alert Source Type: news
We report on the feasibility of implementing such standardized assessments into routine clinical care via measures of adherence. We also report on initial analyses of the data within the database that provide insights into the opportunities to track change. This initiative highlights the feasibility of collecting clinical data using a standardized assessment measure across acute and inpatient rehabilitation care settings. Practice-based evidence may inform future research by contributing pilot data and systematic observations that may lead to the development of empirical studies, which can then feed back into clinical practice.
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Device manufacturer Medtronic has recalled the autoregistration feature on...Read more on AuntMinnie.comRelated Reading: ViewRay inks deal with Elekta, Medtronic Medtronic, Viz.ai team up on stroke care Medtronic recalls StealthStation brain imaging software Mazor Robotics shareholders approve Medtronic deal FDA OKs Medtronic MRI-compatible pacemakers
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
Publication date: Available online 1 June 2020Source: The Annals of Thoracic SurgeryAuthor(s): Giuseppe Nasso, Giuseppe Santarpino, Giuseppe Speziale
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
More News: Arrhythmia | Atrial Fibrillation | Bleeding | Cardiac Arrhythmia | Haemophilia | Hematology | Hemophilia | Stroke | Thrombosis