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EPICARDIAL CLIP CLOSURE OF THE LEFT ATRIAL APPENDAGE: REPLY
  • +2
  • Fabrizio Rosati,
  • Gijs de Maat,
  • Mattia A. E. Valente,
  • Massimo Mariani,
  • Stefano Benussi
Fabrizio Rosati
University of Brescia
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Gijs de Maat
University Medical Centre Groningen
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Mattia A. E. Valente
University Medical Centre Groningen
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Massimo Mariani
UMCG
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Stefano Benussi
University of Brescia
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Abstract

Epicardial surgical clip is showed to be a safe and effective tool in order to achieve a complete left atrial appendage (LAA) exclusion thus reducing the risk of stroke in patients with atrial fibrillation. Historically, other methods as surgical ligation, internal oversewing or external stapling showed to be largely uneffective with an incidence of LAA residual flow ranging from 25% to 35% thus, increasing per se 5- to 10-fold the risk of stroke. Epicardial LAA exclusion by means of external clip could be potentially released under transesophageal echocardiographic guidance thus increasing the procedural success rate of complete closure with no residual stump left.

Peer review status:Published

28 Oct 2021Submitted to Journal of Cardiovascular Electrophysiology
15 Nov 2021Assigned to Editor
15 Nov 2021Submission Checks Completed
15 Nov 2021Editorial Decision: Accept
24 Nov 2021Published in Journal of Cardiovascular Electrophysiology. 10.1111/jce.15296