Left atrial appendage occlusion in octogenarians: Short-Term and 1-Year Follow-Up

Sameer Gafoor, Jennifer Franke, Stefan Bertog, Patrick Boehm, Luisa Heuer, Maik Gonzaga, Janine Bauer, Annkathrin Braut, Simon Lam, Laura Vaskelyte, Ilona Hofmann, Horst Sievert

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objectives To determine the procedural safety, safety, and efficacy of left atrial appendage (LAA) occlusion in octogenarians. Background Elderly patients with atrial fibrillation (AF) often do not receive appropriate anticoagulation. LAA occlusion is an option for patients with AF and contraindications to anticoagulation. Not much is known about the procedural safety and clinical efficacy of LAA occlusion in the very elderly. Methods A retrospective review of LAA cases at our institution between 2002 and 2013 in patients 80 years of age or older was performed. Demographic, echocardiographic, procedural, and clinical follow-up data were collected. Results Seventy-five cases were attempted in patients 80 years of age or older (average age 83.4 ± 2.8 years, 53.3% males). Hypertension, coronary artery disease, and heart failure were present in 96, 41.3, and 36%, respectively. Mean CHADS2 and CHA2DS-VASc scores were 3.3 and 5.2. Devices used included the WATCHMAN, ACP, PLAATO, Lariat, and Coherex devices, which were attempted in 34.7, 36, 17.3, 5.3, and 5.3%, respectively. Overall procedural success, safety endpoint, and 1-year device efficacy was 90.1, 3.9, and 97.4%, respectively. Conclusion LAA closure is a safe and efficacious method of stroke prevention in the very elderly with AF. © 2013 Wiley Periodicals, Inc.

Original languageEnglish (US)
Pages (from-to)805-810
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Volume83
Issue number5
DOIs
StatePublished - Jan 1 2014

Keywords

  • COMP - Complications adult cath/intervention
  • LAC - Left Atrial Appendage Closure
  • PERI - Pericardial

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    Gafoor, S., Franke, J., Bertog, S., Boehm, P., Heuer, L., Gonzaga, M., Bauer, J., Braut, A., Lam, S., Vaskelyte, L., Hofmann, I., & Sievert, H. (2014). Left atrial appendage occlusion in octogenarians: Short-Term and 1-Year Follow-Up. Catheterization and Cardiovascular Interventions, 83(5), 805-810. https://doi.org/10.1002/ccd.25297