title: State Of The Art In Left Atrial Appendage Ligation - The Lariat.
abstract: Percutaneous left atrial appendage ligation (LAA) techniques have come to the forefront of management of atrial fibrillation (AF) patients who are at high risk of stroke and are unsuitable for oral anticoagulation therapy. LARIAT is a novel percutaneous endo-epicardial ligation technique for LAA exclusion. This technique is increasingly becoming popular for LAA exclusion in AF patients. A few studies have validated the efficacy of LARIAT in mitigating stroke risk in AF patients with contraindications to anticoagulation. Additionally a few studies have suggested that AF burden decreases after the LARIAT procedure. In this review paper we discuss the indications, technique and the latest advances in the LAA exclusion using the LARIAT system.
authors.affiliation: Section of Electrophysiology, Division of Cardiology, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS.
authors.forename: Pramod
authors.initials: P
authors.lastname: Janga
authors.affiliation: Department of Internal Medicine, University of Missouri Kansas City, Kansas city, MO.
authors.forename: Hema
authors.initials: H
authors.lastname: Pamulapati
authors.affiliation: Section of Electrophysiology, Division of Cardiology, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS; Division of Cardiology, Creighton University School of Medicine, Omaha, NE.
authors.forename: Arun
authors.initials: A
authors.lastname: Kanmanthareddy
authors.affiliation: Department of Cardiology, Case Western Reserve University/ MetroHealth Campus, Cleveland, OH.
authors.forename: Ajay
authors.initials: A
authors.lastname: Vallakati
authors.affiliation: Section of Electrophysiology, Division of Cardiology, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS.
authors.forename: Sampath
authors.initials: S
authors.lastname: Gunda
authors.affiliation: Section of Electrophysiology, Division of Cardiology, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS.
authors.forename: Sudharani
authors.initials: S
authors.lastname: Bommana
authors.affiliation: Section of Electrophysiology, Division of Cardiology, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS.
authors.forename: Misty
authors.initials: M
authors.lastname: Jaeger
authors.affiliation: Section of Electrophysiology, Division of Cardiology, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS.
authors.forename: Madhu Reddy
authors.initials: MR
authors.lastname: Yeruva
authors.affiliation: Section of Electrophysiology, Division of Cardiology, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS.
authors.forename: Dhanunjaya
authors.initials: D
authors.lastname: Lakkireddy
keywords: Atrial Fibrillation; LAA Exclusion; LARIAT; Left Atrial Appendage; Stroke