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1000 Titel
  • Left atrial appendage closure in patients with a reduced left ventricular ejection fraction: results from the multicenter German LAARGE registry
1000 Autor/in
  1. Fastner, Christian |
  2. Brachmann, Johannes |
  3. Lewalter, Thorsten |
  4. Zeymer, Uwe |
  5. Sievert, Horst |
  6. Borggrefe, Martin |
  7. Weiß, Christian |
  8. Geist, Volker |
  9. Krapivsky, Alexander |
  10. Käunicke, Matthias |
  11. Mudra, Harald |
  12. Hochadel, Matthias |
  13. Schneider, Steffen |
  14. Senges, Jochen |
  15. Akin, Ibrahim |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-03-31
1000 Erschienen in
1000 Quellenangabe
  • 109(11):1333-1341
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00392-020-01627-8 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7588387/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Interventional left atrial appendage closure (LAAC) effectively prevents thromboembolic events in atrial fibrillation patients. Impaired left ventricular ejection fraction (LVEF) increases not only the thromboembolic risk but also the complication rates of cardiac interventions. The LAAC procedure's benefit in patients with an impaired LVEF, therefore, has yet to be investigated.!##!Methods!#!LAARGE is a prospective, non-randomized registry depicting the clinical reality of LAAC in Germany. Procedure was conducted with different standard commercial devices, and follow-up period was one year. In the sense of an as-treated analysis, patients with started procedure and documented LVEF were selected from the whole database.!##!Results!#!619 patients from 37 centers were categorized into one of three groups: LVEF > 55% (56%), 36-55% (36%), and ≤ 35% (8%). Prevalence of cardiovascular comorbidity increased with LVEF reduction (p < 0.001 for trend). CHA!##!Conclusions!#!LVEF reduction neither influenced the procedural success nor the effectiveness and safety of stroke prevention by LAAC.!##!Trial registration!#!ClinicalTrials.gov Identifier: NCT02230748.
1000 Sacherschließung
lokal Depressed left ventricular function
lokal Aged, 80 and over [MeSH]
lokal Aged [MeSH]
lokal Atrial Appendage/diagnostic imaging [MeSH]
lokal Bleeding risk
lokal Stroke Volume/physiology [MeSH]
lokal Ventricular Function, Left/physiology [MeSH]
lokal Cardiac Surgical Procedures/methods [MeSH]
lokal Atrial Fibrillation/surgery [MeSH]
lokal Male [MeSH]
lokal Septal Occluder Device [MeSH]
lokal Female [MeSH]
lokal Atrial Appendage/surgery [MeSH]
lokal Follow-Up Studies [MeSH]
lokal Humans [MeSH]
lokal LAA closure
lokal Prospective Studies [MeSH]
lokal Treatment Outcome [MeSH]
lokal Atrial fibrillation
lokal LAARGE
lokal Atrial Fibrillation/physiopathology [MeSH]
lokal Germany [MeSH]
lokal Original Paper
lokal Ischemic stroke
lokal Registries [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/RmFzdG5lciwgQ2hyaXN0aWFu|https://frl.publisso.de/adhoc/uri/QnJhY2htYW5uLCBKb2hhbm5lcw==|https://frl.publisso.de/adhoc/uri/TGV3YWx0ZXIsIFRob3JzdGVu|https://frl.publisso.de/adhoc/uri/WmV5bWVyLCBVd2U=|https://frl.publisso.de/adhoc/uri/U2lldmVydCwgSG9yc3Q=|https://frl.publisso.de/adhoc/uri/Qm9yZ2dyZWZlLCBNYXJ0aW4=|https://frl.publisso.de/adhoc/uri/V2Vpw58sIENocmlzdGlhbg==|https://frl.publisso.de/adhoc/uri/R2Vpc3QsIFZvbGtlcg==|https://frl.publisso.de/adhoc/uri/S3JhcGl2c2t5LCBBbGV4YW5kZXI=|https://frl.publisso.de/adhoc/uri/S8OkdW5pY2tlLCBNYXR0aGlhcw==|https://frl.publisso.de/adhoc/uri/TXVkcmEsIEhhcmFsZA==|https://frl.publisso.de/adhoc/uri/SG9jaGFkZWwsIE1hdHRoaWFz|https://frl.publisso.de/adhoc/uri/U2NobmVpZGVyLCBTdGVmZmVu|https://frl.publisso.de/adhoc/uri/U2VuZ2VzLCBKb2NoZW4=|https://frl.publisso.de/adhoc/uri/QWtpbiwgSWJyYWhpbQ==
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