Left Atrial Appendage Closure (LAAC) in India: An Evaluation of Suitability
Introduction:
Left atrial appendage percutaneous closure (LAAC) surgery seals off the left atrial appendage (LAA), a small pouch in the upper left chamber of the heart. Blood clots often form in the LAA and can travel to the brain, causing strokes. LAAC is a minimally invasive procedure performed under local anesthesia.
Doctors insert a catheter through a leg vein, guide it to the heart, and deploy a device to close the LAA. This procedure has become increasingly popular in India as a preventive measure for stroke in patients with atrial fibrillation (AFib).
Eligibility for LAAC Procedure:
Doctors recommend LAAC for patients with AFib who are at high risk of stroke. You may be eligible if you:
- Have had a previous stroke or transient ischemic attack (TIA)
- Have an enlarged LAA
- Cannot take blood-thinning medications
How the LAAC Procedure Works:
Doctors conduct the procedure under local anesthesia. They insert a catheter through a vein in the leg and guide it toward the heart. Then, they deploy a device through the catheter to seal the LAA. The two main devices used in LAAC are:
- Umbrella device: A small, umbrella-shaped device expands to close off the LAA.
- Coil device: A spring-like coil expands to block the LAA.
Potential Risks of LAAC:
Although LAAC is safe, it carries some risks, including:
- Bleeding
- Infection
- Cardiac injury
These risks remain low, and doctors consider the procedure safe for most patients.
Benefits of the LAAC Procedure:
LAAC effectively prevents strokes in AFib patients. Since the procedure is minimally invasive, doctors can perform it on an outpatient basis, which speeds up recovery compared to traditional surgery.
Conclusion:
LAAC offers a valuable solution for AFib patients at high risk of stroke. If you are considering the procedure, consult your healthcare provider to see if it’s the right choice for you. A thorough discussion will help you understand how the procedure works and if it aligns with your medical needs.
We hope this article helps you understand the LAAC procedure better.
For questions or concerns, reach out to your healthcare provider.
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