Mechanism and management of leaks arising after left atrial appendage closure (LAAC)

J Cardiovasc Electrophysiol. 2023 Oct;34(10):2136-2144. doi: 10.1111/jce.15671. Epub 2022 Sep 19.

Abstract

This article reviews the latest available data in regard to the diagnosis, management, and intervention of both central and peri-device leaks that arise after left atrial appendage closure (LAAC). The aim of this article is to have a better understanding of both addressing leaks arising after LAAC, and which interventions and closure methods are best served for each type of residual leak based on etiology, size, and operator experience.

Keywords: atrial fibrillation; central leaks; leak closure; left atrial appendage; left atrial appendage closure; peri-device leaks.

Publication types

  • Review

MeSH terms

  • Atrial Appendage* / diagnostic imaging
  • Atrial Appendage* / surgery
  • Atrial Fibrillation* / diagnosis
  • Atrial Fibrillation* / surgery
  • Cardiac Catheterization / adverse effects
  • Humans
  • Stroke*
  • Treatment Outcome