La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol

Maximiliano A. Hawkes; Lucía Pertierra; Federico Rodriguez-Lucci; Virginia A. Pujol-Lereis; Sebastián F. Ameriso

doi:10.1590/0004-282X20150210

La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol

Translated title of the contribution: Left atrial appendage occlusion with Amplatzer Cardio Plug is an acceptable therapeutic option for prevention of stroke recurrence in patients with non-valvular atrial fibrillation and contraindication or failure of oral anticoagulation with acenocumarol

Maximiliano A. Hawkes, Lucía Pertierra, Federico Rodriguez-Lucci, Virginia A. Pujol-Lereis, Sebastián F. Ameriso

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Left atrial appendage occlusion (LAAO) appears as a therapeutic option for some atrial fibrillation patients not suitable for oral anticoagulation because an increased hemorrhagic risk or recurrent ischemic events despite anticoagulant treatment. Methods: Report of consecutive atrial fibrillation patients treated with LAAO with Amplatzer Cardio Plug because contraindication or failure of oral anticoagulation with acenocumarol. CHA2DS2VASC, HAS-BLED, NIHSS, mRS, procedural complications and outcome were assessed. Seven patients (73 ± 6 year-old) were treated after intracerebral (n = 5) and gastrointestinal (n = 1) hemorrhages or ischemic stroke recurrence while on acenocumarol (n = 1). Results: Mean follow up was 18 months. Baseline CHA2DS2Vasc y HAS-BLED scores were 5.6 ± 0.7 and 4.1 ± 0.3 respectively. There were no strokes or deaths. There was only one non-serious adverse event. Conclusion: LAAO with ACP appears as a feasible therapeutic option for stroke prevention in patients with atrial fibrillation and failure or contraindication to acenocumarol.

Translated title of the contribution	Left atrial appendage occlusion with Amplatzer Cardio Plug is an acceptable therapeutic option for prevention of stroke recurrence in patients with non-valvular atrial fibrillation and contraindication or failure of oral anticoagulation with acenocumarol
Original language	Portuguese
Pages (from-to)	219-222
Number of pages	4
Journal	Arquivos de Neuro-Psiquiatria
Volume	74
Issue number	3
DOIs	https://doi.org/10.1590/0004-282X20150210
State	Published - Mar 2016
Externally published	Yes

Keywords

Amplatzer Cardio Plug
Atrial fibrillation
Intracerebral hemorrhage
Oral anticoagulants
Stroke recurrence

ASJC Scopus subject areas

Clinical Neurology
Biological Psychiatry

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Hawkes, M. A., Pertierra, L., Rodriguez-Lucci, F., Pujol-Lereis, V. A., & Ameriso, S. F. (2016). La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol. Arquivos de Neuro-Psiquiatria, 74(3), 219-222. https://doi.org/10.1590/0004-282X20150210

La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol. / Hawkes, Maximiliano A.; Pertierra, Lucía; Rodriguez-Lucci, Federico; Pujol-Lereis, Virginia A.; Ameriso, Sebastián F.

In: Arquivos de Neuro-Psiquiatria, Vol. 74, No. 3, 03.2016, p. 219-222.

Research output: Contribution to journal › Article › peer-review

Hawkes, MA, Pertierra, L, Rodriguez-Lucci, F, Pujol-Lereis, VA & Ameriso, SF 2016, 'La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol', Arquivos de Neuro-Psiquiatria, vol. 74, no. 3, pp. 219-222. https://doi.org/10.1590/0004-282X20150210

Hawkes MA, Pertierra L, Rodriguez-Lucci F, Pujol-Lereis VA, Ameriso SF. La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol. Arquivos de Neuro-Psiquiatria. 2016 Mar;74(3):219-222. https://doi.org/10.1590/0004-282X20150210

Hawkes, Maximiliano A. ; Pertierra, Lucía ; Rodriguez-Lucci, Federico ; Pujol-Lereis, Virginia A. ; Ameriso, Sebastián F. / La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol. In: Arquivos de Neuro-Psiquiatria. 2016 ; Vol. 74, No. 3. pp. 219-222.

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abstract = "Left atrial appendage occlusion (LAAO) appears as a therapeutic option for some atrial fibrillation patients not suitable for oral anticoagulation because an increased hemorrhagic risk or recurrent ischemic events despite anticoagulant treatment. Methods: Report of consecutive atrial fibrillation patients treated with LAAO with Amplatzer Cardio Plug because contraindication or failure of oral anticoagulation with acenocumarol. CHA2DS2VASC, HAS-BLED, NIHSS, mRS, procedural complications and outcome were assessed. Seven patients (73 ± 6 year-old) were treated after intracerebral (n = 5) and gastrointestinal (n = 1) hemorrhages or ischemic stroke recurrence while on acenocumarol (n = 1). Results: Mean follow up was 18 months. Baseline CHA2DS2Vasc y HAS-BLED scores were 5.6 ± 0.7 and 4.1 ± 0.3 respectively. There were no strokes or deaths. There was only one non-serious adverse event. Conclusion: LAAO with ACP appears as a feasible therapeutic option for stroke prevention in patients with atrial fibrillation and failure or contraindication to acenocumarol.",

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La oclusión de la orejuela izquierda con Amplatzer Cardio Plug es una terapia aceptable para prevención del ACV isquémico en pacientes con fibrilación auricular y contraidicación o falla terapéutica con acenocumarol

Abstract

Keywords

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