Hospital Clinic; C/Villarroel, 170, Cardiology Department; 08036 Barcelona, Spain.
J Invasive Cardiol. 2022 Apr;34(4):E296-E298. doi: 10.25270/jic/21.00107. Epub 2022 Feb 11.
Nonagenarians constitute a fast-growing and high-risk segment of the population, with scarce data on specific outcomes for percutaneous left atrial appendage occlusion (LAAO). The aim of the present paper was to assess the outcomes of nonagenarian patients undergoing LAAO from the prospective global Amplatzer Amulet observational study. Overall, 1088 subjects were prospectively included in the study. Among them, 9 (1%) were nonagenarians. Amulet device implant success was achieved in all patients and the only major procedural adverse event was a pseudoaneurysm. During the 2-year follow-up after LAAO, no ischemic strokes or transient ischemic attacks were reported. Further studies will be necessary to confirm the favorable LAAO outcomes in this growing segment of the atrial fibrillation population.
90 岁以上人群是增长迅速且高危的人群，有关经皮左心耳封堵术（LAAO）的具体结果数据很少。本研究旨在评估前瞻性全球 Amplatzer Amulet 观察性研究中接受 LAAO 的 90 岁以上患者的结果。总体而言，前瞻性纳入了 1088 名患者。其中，9 名（1%）为 90 岁以上人群。所有患者均成功植入 Amulet 装置，唯一的主要手术不良事件是假性动脉瘤。LAAO 后 2 年的随访期间，未报告缺血性卒中和短暂性脑缺血发作。进一步的研究将有必要证实这一快速增长的房颤人群中 LAAO 的良好结果。
