Expert Consensus on Transcatheter Left Atrial Appendage Closure-Patient Selection Criteria Future Directions

Video Transcription

Video Summary

The video discusses patient selection criteria and future directions for left atrial appendage occlusion, a procedure used to prevent thromboembolic events in patients with non-valvular atrial fibrillation. Patient selection criteria vary depending on geography, with different indications for use in the United States, European Union, and China. The 2019 ACCHA HRS focused guidelines recommend considering left atrial appendage closure in patients with atrial fibrillation and increased stroke risk who have contraindications to long-term anticoagulant therapy. The video also highlights specific patient groups of interest, such as those with prior bleeding, intracerebral hemorrhage, or left atrial appendage thrombus. It discusses recent studies and ongoing trials exploring the effectiveness and safety of left atrial appendage occlusion in these patient populations. The future of the procedure looks promising, with goals including achieving guideline recommendations, demonstrating superiority over anticoagulants, and expanding patient and user bases.

Asset Subtitle

David R. Holmes, MD, FSCAI

Keywords

patient selection criteria

left atrial appendage occlusion

thromboembolic events

geographic variations

indications