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 journalArticlepeer-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 contributionLeft 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 languagePortuguese
Pages (from-to)219-222
Number of pages4
JournalArquivos de Neuro-Psiquiatria
Volume74
Issue number3
DOIs
StatePublished - Mar 2016
Externally publishedYes

Keywords

  • Amplatzer Cardio Plug
  • Atrial fibrillation
  • Intracerebral hemorrhage
  • Oral anticoagulants
  • Stroke recurrence

ASJC Scopus subject areas

  • Clinical Neurology
  • Biological Psychiatry

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