Anterior Pathway for Epicardial Left Atrial Appendage Clip Occlusion During Minimally Invasive Atrioventricular Valve Surgery-Reference-Cited by-同舟云学术

Anterior Pathway for Epicardial Left Atrial Appendage Clip Occlusion During Minimally Invasive Atrioventricular Valve Surgery

Published:2022-11 Issue:6 Volume:17 Page:553-556
ISSN:1556-9845
Container-title:Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
language:en
Short-container-title:Innovations�(Phila)

Author:

Vondran Maximilian¹^ORCID,Rose Frank¹,Treede Hendrik²,Liebold Andreas³,Doll Nicolas⁴,Choi Yeong-Hoon⁵⁶,Kaminski Alexander¹

Affiliation:

1. Department of Cardiac and Vascular Surgery, Klinikum Karlsburg, Heart and Diabetes Center Mecklenburg-Western Pommerania, Germany

2. Department of Cardiac Surgery, University Hospital Mainz, Germany

3. Department of Cardiothoracic and Vascular Surgery, Ulm University Hospital, Germany

4. Department of Cardiac Surgery, Schuechtermann-Klinik, Bad Rothenfelde, Germany

5. Department of Cardiac Surgery and Surgical Intensive Care Medicine, Kerckhoff Heart Center, Bad Nauheim, Germany

6. Campus Kerckhoff, Justus-Liebig University Giessen, Germany

Abstract

The left atrial appendage occlusion (LAAO) by endocardial suture is sometimes inadequate and thrombogenic with uncertain electrical competence. Moreover, epicardial LAAO clip placement through the transverse sinus can be technically challenging during minimally invasive atrioventricular valve surgery. Here, we describe our new endoscopic technique via an anterior access pathway in 5 patients with concomitant atrial fibrillation using an epicardial clip device (AtriClip Pro 1 or AtriClip Pro 2, AtriCure, Mason, OH, USA) for LAAO. The LAAO was successful in all patients without residual perfusion and surgical complications. Epicardial LAAO by clip via the anterior access pathway represents a novel and feasible endoscopic technique for minimally invasive atrioventricular valve surgery.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/15569845221137886

Reference13 articles.

1. Surgical Ablation of Atrial Fibrillation in the United States: Trends and Propensity Matched Outcomes

2. Left Atrial Appendage Occlusion during Cardiac Surgery to Prevent Stroke

3. The Society of Thoracic Surgeons 2017 Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation

4. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)

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1. Left Atrial Appendage Occlusion on a Beating Heart during Minimally Invasive Valve Surgery Using an Aortic Endoclamp: A Case Report;Journal of Clinical Medicine;2023-09-30

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