Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage

The prevalence of atrial fibrillation (AF) is increasing in parallel with an ageing population leading to increased morbidity and mortality. The most feared complication of AF is stroke, with the arrhythmia being responsible for up to 20% of all ischemic strokes. An important contributor to this inc...

Full description

Saved in:
Bibliographic Details
Main Authors: Sushil Allen Luis, Damian Roper, Alexander Incani, Karl Poon, Haris Haqqani, Darren L. Walters
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/304626
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832548755727974400
author Sushil Allen Luis
Damian Roper
Alexander Incani
Karl Poon
Haris Haqqani
Darren L. Walters
author_facet Sushil Allen Luis
Damian Roper
Alexander Incani
Karl Poon
Haris Haqqani
Darren L. Walters
author_sort Sushil Allen Luis
collection DOAJ
description The prevalence of atrial fibrillation (AF) is increasing in parallel with an ageing population leading to increased morbidity and mortality. The most feared complication of AF is stroke, with the arrhythmia being responsible for up to 20% of all ischemic strokes. An important contributor to this increased risk of stroke is the left atrial appendage (LAA). A combination of the LAA's unique geometry and atrial fibrillation leads to low blood flow velocity and stasis, which are precursors to thrombus formation. It has been hypothesized for over half a century that excision of the LAA would lead to a reduction in the incidence of stroke. It has only been in the last 20–25 years that the knowledge and technology has been available to safely carry out such a procedure. We now have a number of viable techniques, both surgical and percutaneous, which will be covered in this paper.
format Article
id doaj-art-2f5007241f2d493494e678bc238c4a3f
institution Kabale University
issn 2090-8016
2090-0597
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-2f5007241f2d493494e678bc238c4a3f2025-02-03T06:13:11ZengWileyCardiology Research and Practice2090-80162090-05972012-01-01201210.1155/2012/304626304626Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial AppendageSushil Allen Luis0Damian Roper1Alexander Incani2Karl Poon3Haris Haqqani4Darren L. Walters5Department of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032, AustraliaDepartment of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032, AustraliaDepartment of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032, AustraliaDepartment of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032, AustraliaDepartment of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032, AustraliaDepartment of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, QLD 4032, AustraliaThe prevalence of atrial fibrillation (AF) is increasing in parallel with an ageing population leading to increased morbidity and mortality. The most feared complication of AF is stroke, with the arrhythmia being responsible for up to 20% of all ischemic strokes. An important contributor to this increased risk of stroke is the left atrial appendage (LAA). A combination of the LAA's unique geometry and atrial fibrillation leads to low blood flow velocity and stasis, which are precursors to thrombus formation. It has been hypothesized for over half a century that excision of the LAA would lead to a reduction in the incidence of stroke. It has only been in the last 20–25 years that the knowledge and technology has been available to safely carry out such a procedure. We now have a number of viable techniques, both surgical and percutaneous, which will be covered in this paper.http://dx.doi.org/10.1155/2012/304626
spellingShingle Sushil Allen Luis
Damian Roper
Alexander Incani
Karl Poon
Haris Haqqani
Darren L. Walters
Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage
Cardiology Research and Practice
title Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage
title_full Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage
title_fullStr Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage
title_full_unstemmed Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage
title_short Non-Pharmacological Therapy for Atrial Fibrillation: Managing the Left Atrial Appendage
title_sort non pharmacological therapy for atrial fibrillation managing the left atrial appendage
url http://dx.doi.org/10.1155/2012/304626
work_keys_str_mv AT sushilallenluis nonpharmacologicaltherapyforatrialfibrillationmanagingtheleftatrialappendage
AT damianroper nonpharmacologicaltherapyforatrialfibrillationmanagingtheleftatrialappendage
AT alexanderincani nonpharmacologicaltherapyforatrialfibrillationmanagingtheleftatrialappendage
AT karlpoon nonpharmacologicaltherapyforatrialfibrillationmanagingtheleftatrialappendage
AT harishaqqani nonpharmacologicaltherapyforatrialfibrillationmanagingtheleftatrialappendage
AT darrenlwalters nonpharmacologicaltherapyforatrialfibrillationmanagingtheleftatrialappendage