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Imaging assessment after percutaneous left atrial appendage closure: from immediate to long-term follow-up

Title: Imaging assessment after percutaneous left atrial appendage closure: from immediate to long-term follow-up
Authors: Cepas-Guillén, Pedro; Holmes, David R; Cavalcante, Joao; Freixa, Xavier; O’Hara, Gilles; Beaudoin, Jonathan; Farjat-Pasos, Julio; Labbé, Benoit; Rodés-Cabau, Josep; Salaun, Erwan
Contributors: Fundación Alfonso Martín Escudero; Boston Scientific; Abbott; Abbott Medical
Source: European Heart Journal - Cardiovascular Imaging ; volume 26, issue 6, page 993-1006 ; ISSN 2047-2404 2047-2412
Publisher Information: Oxford University Press (OUP)
Publication Year: 2025
Description: Growing evidence has demonstrated the clinical benefit of percutaneous left atrial appendage closure (LAAC) in patients with atrial fibrillation. Although procedural complication rates have declined with increasing experience, post-procedural device-related complications persist, impacting prognosis and reducing the long-term benefits of the procedure. Given the potential impact of these complications, surveillance imaging after LAAC is mandatory. Currently, different imaging modalities offer unique advantages to manage these complications which warrant a combined approach to optimize both short- and long-term follow-up. The aims of this review are to explore the distinct characteristics of each imaging modality, highlighting the primary findings to be assessed during follow-up imaging. Additionally, we propose an optimized clinical imaging surveillance roadmap from discharge to long-term follow-up.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/ehjci/jeaf078
DOI: 10.1093/ehjci/jeaf078/62263963/jeaf078.pdf
Availability: https://doi.org/10.1093/ehjci/jeaf078; https://academic.oup.com/ehjcimaging/advance-article-pdf/doi/10.1093/ehjci/jeaf078/62263963/jeaf078.pdf; https://academic.oup.com/ehjcimaging/article-pdf/26/6/993/62263963/jeaf078.pdf
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.3E08F061
Database: BASE