Heart, Vascular & Thoracic Institute (Miller Family) Outcomes
Arrhythmia
Left Atrial Appendage Occlusion
Left Atrial Appendage Occlusion: Complications Through 7 Days Postprocedure
2019 - 2023, N = 1070
Of the 1070 procedures, there were 24 complications (2.2%) through 7 days post-procedure in patients who had a Watchman™ or Amplatzer Amulet™ left atrial appendage occlusion (LAAO) device implanted at Cleveland Clinic from 2019 through 2023.
LAAO = left atrial appendage occlusion, NCDR = National Cardiovascular Data Registry
Source: EP Database and NCDR LAAO Registry
ᵃEWOLUTION, PROTECT-AF, CAP, and PREVAIL are published LAAO registries.
Left Atrial Appendage Occlusion: Stroke Risk Reduction Through One Year Postprocedure
2019 - 2023, N = 1068
Among patients who had a left atrial appendage occlusion device implanted at Cleveland Clinic from January 2019 through December 2023, the average CHA₂DS₂-VASc score was 5.19±1.48 with expected annual stroke risk around 12.5%
| Patients discharged with a Watchman™ or Amplatzer Amulet™ device | Patients with Ischemic Stroke within one year postprocedure | Percent Ischemic Stroke within one year |
|---|---|---|
| 1068 | 18 | 1.69 |
CHA₂DS₂-VASc score - calculates stroke risk for patients with atrial fibrillation
Source: NCDR LAAO Registry
The CHA₂DS₂-VASc score is a widely used medical tool to guide physicians on blood thinning treatment in order to prevent stroke in patients with non-valvular atrial fibrillation.
Patients with atrial fibrillation are at increased risk of stroke due to blood clots that form in the left atrial appendage (LAA). Cleveland Clinic’s Atrial Fibrillation Stroke Prevention Center is staffed by specialists who have extensive experience in the use of devices to close off the LAA to reduce this risk. For more information, click on the following links: left atrial appendage closure (https://my.clevelandclinic.org/health/treatments/17167-left-atrial-appendage--closure) and Atrial Fibrillation Stroke Prevention Center (https://my.clevelandclinic.org/departments/heart/depts/atrial-fibrillation-stroke-prevention-center).
