Clinical outcomes of patients undergoing percutaneous left atrial appendage occlusion in general anaesthesia or conscious sedation: data from the prospective global Amplatzer Amulet Occluder Observational Study
| Title: | Clinical outcomes of patients undergoing percutaneous left atrial appendage occlusion in general anaesthesia or conscious sedation: data from the prospective global Amplatzer Amulet Occluder Observational Study |
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| Authors: | Matteo Montorfano, Kerstin Piayda, Katharina Hellhammer, Sergio Berti, Jens Erik Nielsen-Kudsk, Boris Schmidt, Patrizio Mazzone, Sven Fischer, Juha Lund, Paolo Della Bella, Ryan Gage, Tobias Zeus |
| Source: | BMJ Open, Vol 11, Iss 3 (2021) |
| Publisher Information: | BMJ Publishing Group, 2021. |
| Publication Year: | 2021 |
| Collection: | LCC:Medicine |
| Subject Terms: | Medicine |
| More Details: | Objective To evaluate the safety and efficacy of percutaneous left atrial appendage occlusion (LAAO) using conscious sedation (CS).Background Several percutaneous structural heart disease interventions are safely and efficiently performed using CS instead of general anaesthesia (GA). This concept has not been evaluated in a large multicenter cohort of patients undergoing LAAO.Methods Patients from the prospective, global Amplatzer Amulet Occluder Observational Study were divided into two groups (GA vs CS). Baseline information, periprocedural and postprocedural efficacy and complications, as well as outcomes through 7 days post implant were compared.Results Patients undergoing transesophageal-guided implants were categorised by GA (n=607, 64%) or CS (n=342, 36%) usage. Mean age was 75 years in both groups. LAAO technical success was achieved in 99% of both groups. The procedure duration (GA: 35±22 min vs CS: 27±19 min, p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2020-0404 2044-6055 |
| Relation: | https://bmjopen.bmj.com/content/11/3/e040455.full; https://doaj.org/toc/2044-6055 |
| DOI: | 10.1136/bmjopen-2020-040455 |
| Access URL: | https://doaj.org/article/bf4b85d2ec28401cbc495d46294c601a |
| Accession Number: | edsdoj.bf4b85d2ec28401cbc495d46294c601a |
| Database: | Directory of Open Access Journals |
| ISSN: | 20200404 20446055 |
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| DOI: | 10.1136/bmjopen-2020-040455 |
| Published in: | BMJ Open |
| Language: | English |