Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377016041> ?p ?o ?g. }
Showing items 1 to 69 of
69
with 100 items per page.
- W4377016041 endingPage "S288" @default.
- W4377016041 startingPage "S287" @default.
- W4377016041 abstract "Surgical left atrial appendage (LAA) closure is an increasingly utilized approach to mitigate the risk of cardioembolic stroke in patients with atrial fibrillation (AF). Optimal stroke prevention management after surgical LAA management with respect to imaging and continuation of oral anticoagulation (OAC) is not well understood. To elucidate real world clinical management of patients undergoing surgical LAA management. Over a 7-year period at a single center, 458 participants carried a diagnosis of AF and underwent surgical exclusion of their LAA during concomitant cardiac surgery. Clinical follow-up, including transesophageal echocardiography (TEE) data and OAC use were catalogued via chart review. Success of LAA ligation was defined as maximal stump depth < 1.0 cm (with no distal leak) in all dimensions imaged. Of the 458 participants, 115 (25%) had a post-operative TEE (with average post-operative time of 36 weeks). Of these 115 patients, 95 were discharged from cardiac surgery on OAC and 83/115 (72%) had successful LAA closure by TEE criteria; 19/115 had inadequate closure and 13/115 did not have sufficient image quality to assess LAA closure. Among the 83 patients with TEE-verified successful LAA closure, 7 had stroke during follow-up; of these strokes 3/7 occurred within 4 weeks of cardiac surgery. Only 1/7 patients was not on OAC at the time of their stroke. (Table 1) Among the 83 patients with successful LAA closure, 70 had been discharged on OAC following cardiac surgery. Of these 47/70 subsequently had their OAC discontinued; 43/47 of those discontinuations occurred after the TEE. Most patients undergoing surgical LAA management do not receive follow-up TEE imaging. When TEE is performed, surgical excision of the LAA is shown to have a moderate success rate. Clinical management after surgical LAA management, with regard to LAA imaging and OAC continuation, is highly heterogeneous." @default.
- W4377016041 created "2023-05-19" @default.
- W4377016041 creator A5012833305 @default.
- W4377016041 creator A5032056956 @default.
- W4377016041 creator A5050458591 @default.
- W4377016041 creator A5055009078 @default.
- W4377016041 creator A5068536460 @default.
- W4377016041 creator A5068672075 @default.
- W4377016041 date "2023-05-01" @default.
- W4377016041 modified "2023-10-01" @default.
- W4377016041 title "PO-02-134 REAL WORLD CLINICAL MANAGEMENT AFTER SURGICAL LEFT ATRIAL APPENDAGE EXCISION" @default.
- W4377016041 doi "https://doi.org/10.1016/j.hrthm.2023.03.1542" @default.
- W4377016041 hasPublicationYear "2023" @default.
- W4377016041 type Work @default.
- W4377016041 citedByCount "0" @default.
- W4377016041 crossrefType "journal-article" @default.
- W4377016041 hasAuthorship W4377016041A5012833305 @default.
- W4377016041 hasAuthorship W4377016041A5032056956 @default.
- W4377016041 hasAuthorship W4377016041A5050458591 @default.
- W4377016041 hasAuthorship W4377016041A5055009078 @default.
- W4377016041 hasAuthorship W4377016041A5068536460 @default.
- W4377016041 hasAuthorship W4377016041A5068672075 @default.
- W4377016041 hasBestOaLocation W43770160411 @default.
- W4377016041 hasConcept C126322002 @default.
- W4377016041 hasConcept C127413603 @default.
- W4377016041 hasConcept C141071460 @default.
- W4377016041 hasConcept C164705383 @default.
- W4377016041 hasConcept C179437574 @default.
- W4377016041 hasConcept C2775914520 @default.
- W4377016041 hasConcept C2778789114 @default.
- W4377016041 hasConcept C2779161974 @default.
- W4377016041 hasConcept C2779384505 @default.
- W4377016041 hasConcept C2780645631 @default.
- W4377016041 hasConcept C2910272107 @default.
- W4377016041 hasConcept C71924100 @default.
- W4377016041 hasConcept C78519656 @default.
- W4377016041 hasConceptScore W4377016041C126322002 @default.
- W4377016041 hasConceptScore W4377016041C127413603 @default.
- W4377016041 hasConceptScore W4377016041C141071460 @default.
- W4377016041 hasConceptScore W4377016041C164705383 @default.
- W4377016041 hasConceptScore W4377016041C179437574 @default.
- W4377016041 hasConceptScore W4377016041C2775914520 @default.
- W4377016041 hasConceptScore W4377016041C2778789114 @default.
- W4377016041 hasConceptScore W4377016041C2779161974 @default.
- W4377016041 hasConceptScore W4377016041C2779384505 @default.
- W4377016041 hasConceptScore W4377016041C2780645631 @default.
- W4377016041 hasConceptScore W4377016041C2910272107 @default.
- W4377016041 hasConceptScore W4377016041C71924100 @default.
- W4377016041 hasConceptScore W4377016041C78519656 @default.
- W4377016041 hasIssue "5" @default.
- W4377016041 hasLocation W43770160411 @default.
- W4377016041 hasOpenAccess W4377016041 @default.
- W4377016041 hasPrimaryLocation W43770160411 @default.
- W4377016041 hasRelatedWork W1978291450 @default.
- W4377016041 hasRelatedWork W2025521473 @default.
- W4377016041 hasRelatedWork W2053292521 @default.
- W4377016041 hasRelatedWork W2083182904 @default.
- W4377016041 hasRelatedWork W2368580361 @default.
- W4377016041 hasRelatedWork W2803188355 @default.
- W4377016041 hasRelatedWork W2918927502 @default.
- W4377016041 hasRelatedWork W3085450085 @default.
- W4377016041 hasRelatedWork W4207059483 @default.
- W4377016041 hasRelatedWork W2772152244 @default.
- W4377016041 hasVolume "20" @default.
- W4377016041 isParatext "false" @default.
- W4377016041 isRetracted "false" @default.
- W4377016041 workType "article" @default.