Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device

Background. Left atrial appendage closure (LAAC) using the LAmbre device has been associated with prevention of stroke in patients with nonvalvular atrial fibrillation (AF). Here, we interrogated the long-term safety and efficacy of using the LAmbre device in percutaneous LAAC. Methods. We analyzed...

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Main Authors: Guangji Wang, Bin Kong, Yu Liu, He Huang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Interventional Cardiology
Online Access:http://dx.doi.org/10.1155/2020/6613683
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author Guangji Wang
Bin Kong
Yu Liu
He Huang
author_facet Guangji Wang
Bin Kong
Yu Liu
He Huang
author_sort Guangji Wang
collection DOAJ
description Background. Left atrial appendage closure (LAAC) using the LAmbre device has been associated with prevention of stroke in patients with nonvalvular atrial fibrillation (AF). Here, we interrogated the long-term safety and efficacy of using the LAmbre device in percutaneous LAAC. Methods. We analyzed 56 records of patients with nonvalvular AF undergoing LAAC procedures with the LAmbre device. We collected and analyzed the data to define the safety and efficacy of the LAmbre device implantation. Result. The LAAC was successfully occluded in the 56 patients. Our data showed no serious residual leak or pericardial effusion occurred during the perioperative period. At a mean follow-up of 37.8 ± 23.5 months, there were 7.1%, 3.6%, and 3.6% rates of death, stroke, and device-related thrombus, respectively. There were no cases of severe residual leak or systemic embolism. Conclusion. Taken together, we demonstrate that execution of LAAC with the LAmbre device has high procedural success and prevents AF-related stroke. However, further large-scale trials might be required to confirm our findings.
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spelling doaj-art-af5c4819541e4d4e953e99aaf9ba05802025-02-03T06:45:53ZengWileyJournal of Interventional Cardiology0896-43271540-81832020-01-01202010.1155/2020/66136836613683Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre DeviceGuangji Wang0Bin Kong1Yu Liu2He Huang3Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaBackground. Left atrial appendage closure (LAAC) using the LAmbre device has been associated with prevention of stroke in patients with nonvalvular atrial fibrillation (AF). Here, we interrogated the long-term safety and efficacy of using the LAmbre device in percutaneous LAAC. Methods. We analyzed 56 records of patients with nonvalvular AF undergoing LAAC procedures with the LAmbre device. We collected and analyzed the data to define the safety and efficacy of the LAmbre device implantation. Result. The LAAC was successfully occluded in the 56 patients. Our data showed no serious residual leak or pericardial effusion occurred during the perioperative period. At a mean follow-up of 37.8 ± 23.5 months, there were 7.1%, 3.6%, and 3.6% rates of death, stroke, and device-related thrombus, respectively. There were no cases of severe residual leak or systemic embolism. Conclusion. Taken together, we demonstrate that execution of LAAC with the LAmbre device has high procedural success and prevents AF-related stroke. However, further large-scale trials might be required to confirm our findings.http://dx.doi.org/10.1155/2020/6613683
spellingShingle Guangji Wang
Bin Kong
Yu Liu
He Huang
Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
Journal of Interventional Cardiology
title Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_full Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_fullStr Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_full_unstemmed Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_short Long-Term Safety and Efficacy of Percutaneous Left Atrial Appendage Closure with the LAmbre Device
title_sort long term safety and efficacy of percutaneous left atrial appendage closure with the lambre device
url http://dx.doi.org/10.1155/2020/6613683
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AT binkong longtermsafetyandefficacyofpercutaneousleftatrialappendageclosurewiththelambredevice
AT yuliu longtermsafetyandefficacyofpercutaneousleftatrialappendageclosurewiththelambredevice
AT hehuang longtermsafetyandefficacyofpercutaneousleftatrialappendageclosurewiththelambredevice