Perkutaner Vorhofohrverschluss

Tushar Chatterjee; Anja Chatterjee; Nina C. Wunderlich; Christoph A. Nienaber

doi:10.1055/s-0033-1344803

Kardiologie up2date, Table of Contents

Kardiologie up2date 2013; 09(03): 239-251
DOI: 10.1055/s-0033-1344803

Diagnostische Verfahren und Bildgebung

Perkutaner Vorhofohrverschluss

Tushar Chatterjee

,

Anja Chatterjee

,

Nina C. Wunderlich

,

Christoph A. Nienaber

Abstract

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Abstract

Atrial fibrillation is a common condition with a lifetime incidence approaching 25 % and an ever-increasing prevalence in an aging society. The two principal goals of therapy in atrial fibrillation are to alleviate symptomes and to reduce the rate of systemic embolism. Oral anticoagulation is nescessary in the majority of patients with atrial fibrillation. Many atrial fibrillation patients are not treated by oral anticoagulation due to a history of bleeding or other contraindications. Among patients with nonvalvular atrial fibrillation the majority of thrombi ist located within or involves the left atrial appendage. Percutaneous left atrial appendage closure is considered an alternative to anticoagulation in patients with atrial fibrillation. The most widely used occlusion systems (WATCHMAN, Amplatzer Cardiac Plug) has a high implantation success rate and a low procedure risk. The available data records indicate the closure oft he left atrial appendage is a equally or more effective as oral anticoagulation.

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References

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