Pre-cath Laboratory Planning for Left Atrial Appendage Occlusion - Optional or Essential?

Document Type

Article

Publication Date

6-1-2023

Publication Title

Card Electrophysiol Clin

Abstract

In the wake of rapid advancement in cardiovascular procedural technologies, physician-led preprocedural planning utilizing multi-modality imaging training is increasingly recognized as invaluable for procedural accuracy. Left atrial appendage occlusion (LAAO) is one such procedure in which complications such as device leak, cardiac injury, and device embolization can be decreased substantially with incorporation of physician driven imaging and digital tools. We discuss the benefits of cardiac CT and 3D printing in preprocedural planning for the Heart Team, as well as novel applications by physicians of intraprocedural 3D angiography and dynamic fusion imaging. Furthermore, incorporation of computational modeling and artificial intelligence (AI) may yield promise. For optimal patient-centric procedural success, we advocate for standardized preprocedural imaging planning by physicians within the Heart Team as an essential part of LAAO.

Medical Subject Headings

Humans; Atrial Appendage; Treatment Outcome; Artificial Intelligence; Atrial Fibrillation; Echocardiography, Transesophageal; Cardiac Catheterization

PubMed ID

37076226

Volume

15

Issue

2

First Page

141

Last Page

150

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