PMID- 25696171 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1568-5888 (Print) IS - 1568-5888 (Linking) VI - 11 IP - 12 DP - 2003 Dec TI - First Dutch experience with percutaneous left atrial appendage transcatheter occlusion. PG - 506-509 AB - BACKGROUND: Patients with atrial fibrillation (AF) have an increased risk of thromboembolic stroke, dependent on clinical variables. Oral anticoagulation significantly decreases the risk of stroke or embolism, but sometimes this is difficult to manage and may be contraindicated. Approximately 90% of atrial thrombi in nonrheumatic AF are found in the left atrial appendage (LAA). A new device has been developed which allows percutaneous LAA occlusion (PLAATO) and might be an alternative to oral anticoagulation. Feasibility in dogs and humans was described previously. METHODS AND RESULTS: As part of an international multicentre trial, three patients received a percutaneous transcatheter LAA occlusion device. Implantations were performed without general anaesthesia, guided by intracardiac and transoesophageal echocardiography and without major complications. The implantations were well tolerated by the patients, who entered a long-term follow-up to be compared with a historical control group. CONCLUSION: Transseptal percutaneous LAA occlusion is feasible. Its role as an alternative to oral anticoagulation, however, needs to be further defined. FAU - Scholten, M F AU - Scholten MF FAU - Jordaens, L J AU - Jordaens LJ FAU - Cummins, P A AU - Cummins PA FAU - Serruys, P W AU - Serruys PW LA - eng PT - Journal Article PL - Netherlands TA - Neth Heart J JT - Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation JID - 101095458 PMC - PMC2499961 OTO - NOTNLM OT - atrial fibrillation OT - left atrial appendage OT - occluder OT - thromboembolic risk EDAT- 2003/12/01 00:00 MHDA- 2003/12/01 00:01 PMCR- 2003/12/01 CRDT- 2015/02/20 06:00 PHST- 2015/02/20 06:00 [entrez] PHST- 2003/12/01 00:00 [pubmed] PHST- 2003/12/01 00:01 [medline] PHST- 2003/12/01 00:00 [pmc-release] PST - ppublish SO - Neth Heart J. 2003 Dec;11(12):506-509.