title: Left atrial appendage occlusion for stroke prevention in atrial fibrillation in Europe: results of the European Heart Rhythm Association survey.
abstract: The purpose of this EP wire survey was to assess clinical practice in relation to the use of left atrial appendage occlusion (LAAO) devices for stroke prevention in atrial fibrillation (AF) among members of the European Heart Rhythm Association research network. The average number of performed LAAO was 10.6 per year and most (73%) centres performed ≤10 procedures per year. We found that LAAO was being performed for stroke prevention in AF, for the most common indication being 'the patient has absolute contraindication to long term oral anticoagulants'. Among survey respondents, LAAO procedures are most often performed by interventional cardiologists. Experience varied widely, and this was reflected in the wide range of thromboembolic and procedural (tamponade, bleeding) complications reported by the respondents to this EP wire survey.
authors.affiliation: University of Birmingham Centre for Cardiovascular Sciences, City Hospital Birmingham, England, UK. g.y.h.lip@bham.ac.uk
authors.forename: Gregory Y H
authors.initials: GY
authors.lastname: Lip
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Dagres
authors.forename: Alessandro
authors.initials: A
authors.lastname: Proclemer
authors.forename: Jesper Hastrup
authors.initials: JH
authors.lastname: Svendsen
authors.forename: Laurent
authors.initials: L
authors.lastname: Pison
authors.forename: Carina
authors.initials: C
authors.lastname: Blomstrom-Lundqvist
mesh_terms: D020517:Atrial Appendage / Q000601:surgery*; D001281:Atrial Fibrillation / Q000453:epidemiology* / Q000517:prevention & control*; D015897:Comorbidity; D005060:Europe / Q000453:epidemiology; D019538:Health Care Surveys; D006801:Humans; D015994:Incidence; D010818:Practice Patterns, Physicians'; D015995:Prevalence; D012307:Risk Factors; D055989:Septal Occluder Device / Q000706:statistics & numerical data*; D020521:Stroke / Q000453:epidemiology* / Q000517:prevention & control*; D016896:Treatment Outcome