Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement

Percutaneous left atrial appendage occlusion aims to reduce the risk of stroke in patients with AF, particularly those who are not good candidates for systemic anticoagulation. The procedure has been studied in large international randomised trials and registries and was approved by the National Ins...

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Main Authors: Tim R Betts, Patrick A Calvert, Lee N Graham, Gerald J Clesham, Ashan Gunarathne, Brian Clapp, Dhiraj Gupta, Jan Kovac, James D Newton, David Hildick-Smith
Format: Article
Language:English
Published: Radcliffe Medical Media 2024-03-01
Series:Arrhythmia & Electrophysiology Review
Online Access:https://www.aerjournal.com/articleindex/aer.2024.08
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author Tim R Betts
Patrick A Calvert
Lee N Graham
Gerald J Clesham
Ashan Gunarathne
Brian Clapp
Dhiraj Gupta
Jan Kovac
James D Newton
David Hildick-Smith
author_facet Tim R Betts
Patrick A Calvert
Lee N Graham
Gerald J Clesham
Ashan Gunarathne
Brian Clapp
Dhiraj Gupta
Jan Kovac
James D Newton
David Hildick-Smith
author_sort Tim R Betts
collection DOAJ
description Percutaneous left atrial appendage occlusion aims to reduce the risk of stroke in patients with AF, particularly those who are not good candidates for systemic anticoagulation. The procedure has been studied in large international randomised trials and registries and was approved by the National Institute for Health and Care Excellence in 2014 and by NHS England in 2018. This position statement summarises the evidence for left atrial appendage occlusion and presents the current indications. The options and consensus on best practice for pre-procedure planning, undertaking a safe and effective implant and appropriate post-procedure management and follow-up are described. Standards regarding procedure volume for implant centres and physicians, the role of multidisciplinary teams and audits are highlighted.
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institution OA Journals
issn 2050-3369
2050-3377
language English
publishDate 2024-03-01
publisher Radcliffe Medical Media
record_format Article
series Arrhythmia & Electrophysiology Review
spelling doaj-art-2a271ca7aecb4aeda86893f02e1a8dbd2025-08-20T01:56:38ZengRadcliffe Medical MediaArrhythmia & Electrophysiology Review2050-33692050-33772024-03-011310.15420/aer.2024.08Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position StatementTim R Betts0Patrick A Calvert1Lee N Graham2Gerald J Clesham3Ashan Gunarathne4Brian Clapp5Dhiraj Gupta6Jan Kovac7James D Newton8David Hildick-Smith9Cardiac Electrophysiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UKCardiology Service, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UKYorkshire Heart Centre, Leeds General Infirmary, Leeds, UKEssex Cardiothoracic Centre, Basildon University Hospital, Basildon, UKTrent Cardiac Centre, Nottingham University Hospitals NHS Trust, Nottingham, UKCardiology Service, Guy’s and St Thomas’ NHS Foundation Trust, London, UKLiverpool Heart and Chest Hospital, University of Liverpool, Liverpool, UKGlenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UKCardiothoracic Services, Oxford University Hospitals NHS Foundation Trust, Oxford, UKSussex Cardiac Centre, University Hospitals Sussex NHS Foundation Trust, Brighton, UKPercutaneous left atrial appendage occlusion aims to reduce the risk of stroke in patients with AF, particularly those who are not good candidates for systemic anticoagulation. The procedure has been studied in large international randomised trials and registries and was approved by the National Institute for Health and Care Excellence in 2014 and by NHS England in 2018. This position statement summarises the evidence for left atrial appendage occlusion and presents the current indications. The options and consensus on best practice for pre-procedure planning, undertaking a safe and effective implant and appropriate post-procedure management and follow-up are described. Standards regarding procedure volume for implant centres and physicians, the role of multidisciplinary teams and audits are highlighted.https://www.aerjournal.com/articleindex/aer.2024.08
spellingShingle Tim R Betts
Patrick A Calvert
Lee N Graham
Gerald J Clesham
Ashan Gunarathne
Brian Clapp
Dhiraj Gupta
Jan Kovac
James D Newton
David Hildick-Smith
Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement
Arrhythmia & Electrophysiology Review
title Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement
title_full Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement
title_fullStr Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement
title_full_unstemmed Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement
title_short Left Atrial Appendage Occlusion: British Cardiovascular Intervention Society and British Heart Rhythm Society Position Statement
title_sort left atrial appendage occlusion british cardiovascular intervention society and british heart rhythm society position statement
url https://www.aerjournal.com/articleindex/aer.2024.08
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