{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T10:47:51Z","timestamp":1709203671507},"reference-count":9,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,6,10]],"date-time":"2013-06-10T00:00:00Z","timestamp":1370822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Percutaneous Endocardial Occlusion of ISLL<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Surgical ligation of the left atrial appendage is considered standard of care in patients who undergo mitral valve surgery or as an adjunct to a surgical Maze procedure for treatment of atrial fibrillation (AF). However, several studies have demonstrated that this can result in incompletely surgically ligated left atrial appendage (ISLL) in a significant number of patients. It is believed that ISLL may in turn promote thrombus formation and lead to clinically relevant thromboembolic events. A novel approach for percutaneous endocardial occlusion of ISLL is described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Seven patients with AF and ISLL following prior open\u2010chest, surgical suture ligation in the absence of rheumatic heart disease, underwent percutaneous endocardial ISLL occlusion using an Amplatzer Septal Occluder device guided by fluoroscopy and transesophageal echocardiography through a novel approach. Three patients were diagnosed in the setting of acute embolic stroke, 2 at the time of cardiac arrhythmia ablation and 2 by elective precardioversion transesophageal echocardiography. All patients were treated with oral anticoagulation therapy. Acute and long\u2010term ISLL occlusion was successfully achieved in 6 patients, in whom oral anticoagulation was eventually discontinued without any embolic events during 10 \u00b1 2 months of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Percutaneous endocardial occlusion of ISLL is feasible using an Amplatzer Septal Occluder device. Additional studies are required to evaluate the long\u2010term safety and efficacy of this therapeutic treatment strategy in patients with ISLL.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.12183","type":"journal-article","created":{"date-parts":[[2013,5,17]],"date-time":"2013-05-17T10:44:45Z","timestamp":1368787485000},"page":"968-974","source":"Crossref","is-referenced-by-count":7,"title":["Percutaneous Endocardial Occlusion of Incompletely Surgically Ligated Left Atrial Appendage"],"prefix":"10.1111","volume":"24","author":[{"given":"ARASH","family":"ARYANA","sequence":"first","affiliation":[{"name":"Regional Cardiology Associates  Sacramento California USA"},{"name":"Mercy Heart &amp; Vascular Institute  Sacramento California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DIOGO","family":"CAVACO","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Service Hospital da Luz  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ARVIN","family":"ARTHUR","sequence":"additional","affiliation":[{"name":"Mercy Heart &amp; Vascular Institute  Sacramento California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PADRAIG GEAROID","family":"O'NEILL","sequence":"additional","affiliation":[{"name":"Regional Cardiology Associates  Sacramento California USA"},{"name":"Mercy Heart &amp; Vascular Institute  Sacramento California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PEDRO","family":"ADRAG\u00c3O","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Service Hospital da Luz  Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ANDR\u00c9","family":"D'AVILA","sequence":"additional","affiliation":[{"name":"Helmsley Cardiac Arrhythmia Service, Mount Sinai School of Medicine  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,10]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"e523","article-title":"Writing Committee Members; American College of Cardiology\/American Heart Association Task Force. 2008 Focused update incorporated into the ACC\/AHA 2006 guidelines for the management of patients with valvular heart disease. A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons","volume":"118","author":"Bonow RO","year":"2006","journal-title":"Circulation"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00954-9"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.03.067"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2004.09.054"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.227991"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00765-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-010-0162-1"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.11.028"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61343-X"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.12183","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.12183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.12183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T23:04:26Z","timestamp":1696287866000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.12183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,10]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1111\/jce.12183"],"URL":"https:\/\/doi.org\/10.1111\/jce.12183","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,10]]}}}