Prophylactic Left Atrial Appendage Management - The ATLAS Study

from All Things Afib · host Armin Kiankhooy

Dr. Marc Gerdisch is my guest for this episode. Dr. Gerdisch is currently the Chief of Cardiovascular and Thoracic Surgery at Franciscan Health in Indianapolis, IN, and owner of Cardiac Surgery Associates in Downers Grove, Illinois, just outside Chicago. During the last 21 years, Dr. Gerdisch has performed more than 5,000 innovative surgical procedures, of which 3,500 involved heart valve operations. He is an innovator in heart surgery and presents internationally on novel heart valve repair techniques and participates in ongoing landmark research in next-generation heart valves and heart tissue regeneration. Join us for a discussion focusing on the exciting and illuminating results offered by the ATLAS Study, aka the AtriClip® Left Atrial Appendage Exclusion Concomitant to Structural Heart Procedures (ATLAS). Discussion points: Introduction and background – Dr. Marc Gerdisch What drove the clinical ATLAS study into being? How heart surgeons like Dr. James Cox started closing the left atrial appendage as an avant-garde move many years ago Patients CHADVASc scores and risks for Afib The LAAOS III study and its outcomes Atriopathy and why all atrial diseases are related The next phase of the ATLAS study will have thousands of patients, multi-national ATLAS study only studied clips, LAAOS included sewing and stapling, which don’t function as well How a poorly closed appendage can be worse than not closing it at all There is such a large amount of data out there on AFib, as diagnostics improve and its danger is recognized Physicians should be screening for AFib if patients have the related risk factors Any patient who has ever snored should have a sleep study done In closing– to all heart surgeons with access to the left atrial appendage during surgery, you should discuss a pre-op plan for closing it in your patients! Resources: Dr. Marc Gerdisch LinkedIn ATLAS Study LAAOS III Study Cardiac Surgery Associates Website Dr. Kiankhooy LinkedIn All Things AFib Website All Things AFib Twitter All Things AFib YouTube Channel

Episode metadata supplied by the publisher feed · Published Feb 13, 2022

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New onset atrial fibrillation or post-operative atrial fibrillation occurs in up to 30% of patients after cardiac surgery. Will prophylactic management of the left atrial appendage with an AtriClip mitigate the post-operative stroke risk associated with NOAF? The results of the ATLAS study provide some thought provoking answers.

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Prophylactic Left Atrial Appendage Management - The ATLAS Study

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