ArticleHeart rhythm O22024
Percutaneous left atrial appendage closure using a modified single-operator-technician approach under deep sedation: A single-center experience.
Article in Heart rhythm O2, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Atrial fibrillation ablation using real-time three-dimensional transesophageal echocardiography as the primary intraprocedural imaging modality: a single-center feasibility study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Transfabric closure of a peridevice leak using a PFO occluder after transcatheter left atrial appendage closure: A case report.HeartRhythm case reports · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Historically, percutaneous transcatheter left atrial appendage closure (LAAC) has been performed under general anesthesia (GA) with transesophageal echocardiographic images obtained by a noninvasive cardiologist and usually requires an overnight hospital stay. Alternatively, we present our single-center experience performing LAACs under deep sedation (DS), employing an echocardiographic technician instead of a noninvasive cardiologist, and expediting same-day discharge. Mid- to long-term outcomes were also evaluated with follow-up imaging at a 45-day visit. Objective: The purpose of this study was to demonstrate the safety, feasibility, and outcomes of our single-operator-technician LAAC approach. Methods: A total of 150 patients, with elevated CHA Results: The mean age of patients was 78 years. Seventy-six (51%) were men. One hundred forty-seven patients (98%) had the LAAC device successfully implanted, and 145 (97%) were discharged on the same day. Nine patients (6%) required conversion from DS to GA. Only 5 patients (4%) had complications during the procedure. None of the patients died or had complications from DS. During the 45-day follow-up visit, one patient had a significant peridevice leak (maximum diameter ≥ 5 mm) and another patient had device-related thrombosis. Conclusion: Our novel single-operator-technician approach under DS is safe and feasible. Implementing protocols to simplify the traditional 2-operator approach under GA by using DS and an echocardiography technician as well as incorporating same-day discharge could make LAACs more widely available and potentially reduce procedural costs.
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