Incidence, Prevention, and Management of Periprocedural Complications of Left Atrial Appendage Occlusion

Interv Cardiol Clin. 2018 Apr;7(2):243-252. doi: 10.1016/j.iccl.2017.12.008.

Abstract

Major procedural complications related to left atrial appendage occlusion (LAAO) are relatively infrequent but may be associated with major morbidity and mortality. LAAO operators should be knowledgeable about these potential complications. Prompt recognition and treatment are necessary to avoid rapid deterioration and dire consequences. With stringent guidelines on operator training, competency requirements, and procedural-technical refinements, LAAO can be performed safely with low complication rates. This article focuses on commonly used devices, as well as prevention, treatment, and management of complications of LAOO.

Keywords: Device embolization; Left atrial appendage occlusion; Pericardial effusion; Periprocedural complications.

Publication types

  • Review

MeSH terms

  • Atrial Appendage / physiopathology
  • Atrial Appendage / surgery*
  • Atrial Fibrillation / mortality
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / surgery*
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / methods
  • Cardiac Tamponade / epidemiology
  • Cardiac Tamponade / mortality
  • Cardiac Tamponade / prevention & control
  • Cardiac Tamponade / therapy
  • Comorbidity
  • Humans
  • Incidence
  • Pericardial Effusion / epidemiology
  • Pericardial Effusion / mortality
  • Pericardial Effusion / prevention & control
  • Pericardial Effusion / therapy
  • Perioperative Period
  • Practice Guidelines as Topic
  • Preceptorship / standards
  • Septal Occluder Device / adverse effects*
  • Stroke / epidemiology
  • Stroke / mortality
  • Stroke / prevention & control
  • Stroke / therapy
  • Thrombosis / epidemiology
  • Thrombosis / mortality
  • Thrombosis / prevention & control
  • Thrombosis / therapy
  • Treatment Outcome