作者
Yang Zhan, Jacqueline Joza, Mohamed Al Rawahi, Rodrigo S Barbosa, Michelle Samuel, Martin Bernier, Thao Huynh, George Thanassoulis, Vidal Essebag
发表日期
2018/3/1
来源
Canadian Journal of Cardiology
卷号
34
期号
3
页码范围
252-261
出版商
Elsevier
简介
Background
Intracardiac thrombi arising in the left atrial appendage (LAA) are the principal cause of stroke in nonvalvular atrial fibrillation (AF). Predicting the presence of LAA thrombi is of vital importance in stratifying patients that would need further LAA imaging prior to cardioversion or AF ablation.
Methods
We comprehensively searched PubMed from its inception to November 2017 for randomized controlled trials, cohort and case control studies, as well as for case series on LAA thrombi risk factors, imaging, prevention, and anticoagulation management in atrial fibrillation.
Results
A systematic review of the literature identified 106 articles that investigated the presence of LAA thrombi in AF patients. We classified the articles according to topic and reported on: (1) risk factors; (2) diagnostic imaging modalities; (3) prevention strategies before cardioversion; (4) prevention strategies before AF ablation; and (5 …
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Y Zhan, J Joza, M Al Rawahi, RS Barbosa, M Samuel… - Canadian Journal of Cardiology, 2018