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Po-01-083 percutaneous closure of peri-device leak following left atrial appendage closure using an amplatzer duct occluder
Percutaneous left atrial appendage (LAA) closure has been recognised as an alternative therapy for stroke prevention in selected patients with non-valvular atrial fibrillation (AF) who have difficulties with long-term oral anticoagulation. Peri-device leaks (PDLs) are frequently diagnosed after LAA closure procedures, regardless of closure methods. PDL> 5mm is related with further embolic events. Nevertheless, management of severe PDL has been a challenging concern which requires multiple teams involved.
Source: Heart Rhythm - May 1, 2023 Category: Cardiology Authors: Rui Shi, John Foran, Ghada Mustafa, Omar H. Riad, Daniel Hunnybun, Vias Markides, Tom Wong Source Type: research

Does atrial fibrillation ablation really reduce stroke rates?
Atrial fibrillation (AF) is increasingly becoming common among older people, and its prevalence is around 1% of the adult population in North America (roughly 2.2 million people). Patients with AF have an increased risk of strokes, heart failure, and subsequent mortality. Although antiarrhythmic drugs for restoring sinus rhythm have failed to reduce these risks, a subanalysis showed that achieving sinus rhythm was associated with halving the mortality but this effect was negated if antiarrhythmic therapy was continued. In fact, the ATHENA (A placebo-controlled, double-blind, parallel-arm Trial to assess the efficacy of dro...
Source: Heart Rhythm - July 22, 2013 Category: Cardiology Authors: Yasuo Okumura Tags: Editorial Commentary Source Type: research