Left atrial appendage occlusion in COVID-19 times

Author:

Freixa Xavier1,Aminian Adel2,De Backer Ole3,Berti Sergio4,Nielsen-Kudsk Jens-Erik5

Affiliation:

1. Department of Cardiology, IDIBAPS, Hospital Clinic of Barcelona, c/Villarroel 170. Escala 3 Planta 6, 08015 Barcelona, Spain

2. Department of Cardiology, Centre Hospitalier Universitaire de Charleroi, Charleroi, Belgium

3. Department of Cardiology, Rigshospitalet, The Heart Centre, Copenhagen, Denmark

4. Department of Cardiology, Fondazione Toscana G. Monasterio, Ospedale del Cuore G. Pasquinucci, Massa, Italy

5. Department of Cardiology, Aarhus University Hospital, Skejby, Denmark

Abstract

Abstract The coronavirus disease 2019 pandemic is having a major impact on healthcare systems worldwide. Several months after the COVID-19 outbreak, waiting lists of non-urgent structural heart (SH) interventions continue to increase. Limitations in terms of ICU beds and anesthesiology represent a major limitation to conduct non-urgent SH interventions and are a valid reason to move towards less invasive approaches. The field of left atrial appendage occlusion (LAAO) reflects this challenging situation perfectly. The aim of this paper is to describe the possibilities for pre-procedural LAA assessment, performance of the LAAO procedure and post-procedural surveillance in these challenging times.

Funder

Abbott

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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