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Left atrial appendage closure to prevent stroke in patients with atrial fibrillation: a call for the heart team approach

Sacha P. Salzberg, J. Grünenfelder, Maximilian Y. Emmert
DOI: http://dx.doi.org/10.1093/europace/euu402 1880-1881 First published online: 12 February 2015

With great interest we read the EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage (LAA) occlusion.1 It is important to emphasize that the seminal efforts to address the LAA originate from open-heart surgery, specifically Madden's seminal report on surgical LAA amputation in 1949, which has driven innovation and the development of less invasive catheter-based approaches to achieve LAA closure.

Current data have led to early clinical adoption of this seemingly attractive therapy. In this regard, the incorporation of surgically applied epicardial closure devices may offer …

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