Academic Journal
Impact of operatoŕs experience on peri-procedural outcomes with Watchman FLX: Insights from the FLX-SPA registry 2
| Title: | Impact of operatoŕs experience on peri-procedural outcomes with Watchman FLX: Insights from the FLX-SPA registry 2 |
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| Authors: | Torres Saura, Francisco, Trejo-Velasco, Blanca, Fernandez Diaz, Jose Antonio, Fajardo Molina, Ricardo, del Valle-Fernandez, Raquel, Martí Aguasca, Gerard, Cruz-Gonzalez, Ignacio |
| Contributors: | Institut Català de la Salut, [Cruz-González I] Cardiology Department, University Hospital of Salamanca, Institute of Biomedical Research of Salamanca, Spain. Biomedical Research Networking Center on Cardiovascular Diseases (CIBERCV), Madrid, Spain. [Torres Saura F] Interventional Cardiology Unit, University Hospital del Vinalopó, Elche, Spain. [Trejo-Velasco B] Cardiology Department, University Hospital of Salamanca, Institute of Biomedical Research of Salamanca, Spain. [Fernández Díaz JA] Interventional Cardiology Unit, University Hospital Puerta de Hierro, Madrid, Spain. [Fajardo Molina R] Cardiology Department, University Hospital Torrecárdenas, Almería, Spain. [del Valle-Fernández R] Cardiology Department, University Hospital Central de Asturias, Oviedo, Spain. [Martí G] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Source: | Scientia |
| Publisher Information: | Elsevier BV, 2022. |
| Publication Year: | 2022 |
| Subject Terms: | Malalties cerebrovasculars - Prevenció, ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::fibrilación atrial, ANATOMY::Cardiovascular System::Heart::Heart Atria::Atrial Appendage, Otros calificadores::Otros calificadores::Otros calificadores::/prevención & control, ENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::trastornos cerebrovasculares::accidente cerebrovascular, Fibril·lació auricular, Avaluació de resultats (Assistència sanitària), DISEASES::Cardiovascular Diseases::Vascular Diseases::Cerebrovascular Disorders::Stroke, Other subheadings::Other subheadings::Other subheadings::/prevention & control, 3. Good health, DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Atrial Fibrillation, ANATOMÍA::sistema cardiovascular::corazón::atrios cardíacos::apéndice atrial |
| Description: | Background The Watchman FLX is a device upgrade of the Watchman 2.5 that incorporates several design enhancements intended to simplify left atrial appendage occlusion (LAAO) and improve procedural outcomes. This study compares peri-procedural results of LAAO with Watchman FLX (Boston Scientific, Marlborough, Massachusetts) in centers with varying degrees of experience with the Watchman 2.5 and Watchman FLX. Methods Prospective, multicenter, “real-world” registry including consecutive patients undergoing LAAO with the Watchman FLX at 26 Spanish sites (FLX-SPA registry). Implanting centers were classified according to the center’s prior experience with the Watchman 2.5. A further division of centers according to whether or not they had performed ≤ 10 or > 10Watchman FLX implants was prespecified at the beginning of the study. Procedural outcomes of institutions stratified according to their experience with the Watchman 2.5 and FLX devices were compared. Results 359 patients [mean age 75.5 (SD8.1), CHA2DS2-VASc 4.4 (SD1.4), HAS-BLED 3.8(SD0.9)] were included. Global success rate was 98.6%, successful LAAO with the first selected device size was achieved in 95.5% patients and the device was implanted at first attempt in 78.6% cases. There were only 9(2.5%) major peri-procedural complications. No differences in efficacy or safety results according to the centeŕs previous experience with Watchman 2.5 and procedural volume with Watchman FLX existed. Conclusions The Watchman FLX attains high procedural success rates with complete LAA sealing in unselected, real-world patients, along with a low incidence of peri-procedural complications, regardless of operatoŕs experience with its previous device iteration or the number of Watchman FLX devices implanted. Apéndice auricular izquierdo; Oclusión; Resultados Apèndix auricular esquerre; Oclusió; Resultats Left atrial appendage; Occlusion; Outcomes |
| Document Type: | Article |
| File Description: | application/pdf |
| Language: | English |
| DOI: | 10.1016/j.ijcha.2021.100941 |
| Access URL: | https://hdl.handle.net/11351/8281 |
| Rights: | CC BY NC ND |
| Accession Number: | edsair.od......3991..f82443c6c0ab98ffd77f7942ef449fdd |
| Database: | OpenAIRE |
| DOI: | 10.1016/j.ijcha.2021.100941 |
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