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Editorial
. 2016 Oct;8(10):E1260-E1267.
doi: 10.21037/jtd.2016.10.16.

Left atrial appendage exclusion for atrial fibrillation: does the protection from stroke prevail in the long-term?

Affiliations
Editorial

Left atrial appendage exclusion for atrial fibrillation: does the protection from stroke prevail in the long-term?

Vaibhav R Vaidya et al. J Thorac Dis. 2016 Oct.
No abstract available

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Autopsy specimens from 136 consecutive nonrheumatic AF patients without anticoagulation compared with 231 age-matched controls without AF. Data from Yamanouchi et al. (13). AF, atrial fibrillation.
Figure 2
Figure 2
Comparison of ischemic and hemorrhagic stroke risk between Watchman trials and NOAC trials. *, events per 100 patient-years; , updated PREVAIL data from Waksman et al. (24), references for PROTECT AF [2009] (4), PROTECT AF [2014] (5), ARISTOTLE (25), ROCKET-AF (26), RE-LY (27); AF, atrial fibrillation; ICH, intracranial hemorrhage.

Comment on

References

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    1. Chugh SS, Havmoeller R, Narayanan K, et al. Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study. Circulation 2014;129:837-47. 10.1161/CIRCULATIONAHA.113.005119 - DOI - PMC - PubMed
    1. Holmes DR, Jr, Kar S, Price MJ, et al. Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial. J Am Coll Cardiol 2014;64:1-12. 10.1016/j.jacc.2014.04.029 - DOI - PubMed
    1. Holmes DR, Reddy VY, Turi ZG, et al. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomised non-inferiority trial. Lancet 2009;374:534-42. 10.1016/S0140-6736(09)61343-X - DOI - PubMed
    1. Reddy VY, Doshi SK, Sievert H, et al. Percutaneous left atrial appendage closure for stroke prophylaxis in patients with atrial fibrillation: 2.3-Year Follow-up of the PROTECT AF (Watchman Left Atrial Appendage System for Embolic Protection in Patients with Atrial Fibrillation) Trial. Circulation 2013;127:720-9. 10.1161/CIRCULATIONAHA.112.114389 - DOI - PubMed

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