Left Atrial Appendage Closure Procedure

Atrial fibrillation can mean a lifetime of blood thinners and increased risk of bleeding.

Left atrial appendage closure procedures are an ALTERNATIVE TO BLOOD THINNERS. This one time, minimally invasive procedure permanently reduces stroke risk without the increased risk of bleeding from blood thinners.

These procedures provide peace of mind by reducing the risk of bleeding from certain medical conditions, urgent surgery, and falls. It also allows for patients to live a more active lifestyle.

 

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Indications for left atrial appendage occlusion device implant:

  • CHADS2VASC > 2 for men

  • CHADS2VASC > 3 for women

  • Patient is suitable for OAC therapy for a least 45 days

  • Any one of the following

    • Hx of major bleeding

    • Hx of or risk for falls

    • Documented poor compliance with OAC therapy or inability to afford OAC therapy

    • Inability or difficulty maintaining therapeutic INR

    • Increased bleeding risk not reflected by the HAS-BLED score (thrombocytopenia, cancer)

    • Occupation / lifestyle that puts patient at increased risk of bleeding

    • Severe renal failure

    • Avoidance of triple therapy after PCI / TAVR

    • Drug or medication regimen not compatible with OAC

    • Other situations where OAC is not appropriate

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