Tesi etd-09062018-145505
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Tipo di tesi
Master univ. II liv.
Autore
GIANNICO, MARIA BENEDETTA
URN
etd-09062018-145505
Titolo
Safe combined approach of percutaneous LAA closure plus mitral/aortic valvuloplasty: initial single center experience
Scientific disciplinary sector
SECS-P/08
Corso di studi
Percutaneous interventional treatment of structural heart diseases
Commissione
relatore Prof. PASSINO, CLAUDIO
Tutor Prof. BERTI, SERGIO
Tutor Prof. BERTI, SERGIO
Parole chiave
- LAA occlusion
- Mitral and Aortic Valvuloplasty
Data inizio appello
17/09/2018;
Disponibilità
completa
Riassunto analitico
More than 90% of atrial thrombi associated with AF were found in left atrial appendage (LAA)
Transcatheter LAA occlusion has been developed as an alternative strategy to OAC/NOAC for stroke prophylaxis in AF patients, particularly in patients with a history of bleeding on OAC therapy, high bleeding risk or contraindications to OAC therapy. Prevalence of thromboembolic complications and thrombus formation is high in patients with mitral stenosis. There is increased prevalence of AF in patients with VHD, predisposing them to higher thromboembolic risk. I present three cases of patients undergoing LAA closure and contemporary aortic or mitral valvuloplasty in order to eliminate the risk of embolic recurrence determined by low flow conditions and blood stasis.Long term follow up in a cohort of patients will be required to evaluate the safety and efficacy of this strategy
Transcatheter LAA occlusion has been developed as an alternative strategy to OAC/NOAC for stroke prophylaxis in AF patients, particularly in patients with a history of bleeding on OAC therapy, high bleeding risk or contraindications to OAC therapy. Prevalence of thromboembolic complications and thrombus formation is high in patients with mitral stenosis. There is increased prevalence of AF in patients with VHD, predisposing them to higher thromboembolic risk. I present three cases of patients undergoing LAA closure and contemporary aortic or mitral valvuloplasty in order to eliminate the risk of embolic recurrence determined by low flow conditions and blood stasis.Long term follow up in a cohort of patients will be required to evaluate the safety and efficacy of this strategy
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