DTA

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Tesi etd-09062018-145505

Type of thesis
Master univ. II liv.
Author
GIANNICO, MARIA BENEDETTA
URN
etd-09062018-145505
Title
Safe combined approach of percutaneous LAA closure plus mitral/aortic valvuloplasty: initial single center experience
Course
Percutaneous interventional treatment of structural heart diseases
Committee
relatore Prof. PASSINO, CLAUDIO
Tutor Prof. BERTI, SERGIO
Keywords
  • LAA occlusion
  • Mitral and Aortic Valvuloplasty
Exam session start date
;
Availability
completa
Abstract
More than 90% of atrial thrombi associated with AF were found in left atrial appendage (LAA) <br>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<br>
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