LAHRS Content 2023-State of the Art in LAOO What's Next? 2023

Video Transcription

Video Summary

The transcript details a case of a 76-year-old male patient with persistent atrial fibrillation who had a history of cerebrovascular events despite anticoagulation, leading to consideration of intervention for appendage closure and pulmonary vein ablation. Due to the patient's preference for only the closure implant procedure, the decision was made to proceed with that option. The patient had a slightly dilated left atrial appendage and was on anticoagulation therapy with rivaroxaban. A CT scan revealed dimensions suitable for implantation. The implant procedure was carried out with the use of intracardiac echocardiography, and the patient was sedated throughout the procedure. The case highlights the planning and decision-making involved in selecting the appropriate intervention for patients with atrial fibrillation and the importance of patient preferences in treatment decisions.

Keywords

persistent atrial fibrillation

cerebrovascular events

anticoagulation therapy

atrial appendage closure

pulmonary vein ablation

rivaroxaban

intracardiac echocardiography

patient preferences