Left Atrial Appendage Closure Devices

Some people with heart disease may be at a higher risk for stroke because they cannot be on blood thinners. Many times, especially in people with atrial fibrillation, stroke occurs because of clots that form in the left atrial appendage (LAA) – a small pouch that connects and empties into the top chamber of the heart (left atrium). Procedures to seal off the LAA can help reduce the risk of stroke and eliminate the need for blood thinners.

The University of Kansas Health System in Kansas City offers a variety of devices and surgical techniques for LAA closure. Our heart doctors often participate in clinical trials to test the safety and effectiveness of LAA closure devices and procedures – making the technology available to patients before anyone else in the region. Our health system offers the latest options for left atrial appendage closure devices for people in the Kansas City region and beyond.

Some people with heart disease may be at a higher risk for stroke because they cannot be on blood thinners. Many times, especially in people with atrial fibrillation, stroke occurs because of clots that form in the left atrial appendage (LAA) – a small pouch that connects and empties into the top chamber of the heart (left atrium). Procedures to seal off the LAA can help reduce the risk of stroke and eliminate the need for blood thinners.

• Our surgeons are often the first in the Kansas City region to offer new, innovative technology for LAA closure.
• We are one of the few hospitals in the area offering nonsurgical closures for PFO (patent foramen ovale) and ASD (atrial septal defect).
• Our heart surgeons work with other specialists as a team. Physicians and professionals from all areas collaborate and coordinate each patient's care for the best possible outcome.
• Our patients experience outcomes comparable with the very best programs in the United States.
• Our surgeons are at the forefront of innovation. They have specialized expertise in minimally invasive heart procedure and participate in several unique clinical trials.

If you have been diagnosed with atrial fibrillation and are unable to tolerate blood thinners, or if you need your LAA closed due to other problems, your care team might recommend an LAA closure device. You will discuss your options for treatment as well as the benefits and risks of each procedure.

Once you and your heart team decide that LAA closure is the right stroke-prevention strategy for you, you may need to take certain preparations. This could include tests or diet or medication restrictions. Usually, you will be asked not to eat or drink anything after midnight the night before your surgery.

If you are having a minimally invasive procedure, you will likely be able to return home the same day. Please arrange for a friend or family member to drive you to and from the hospital, as you will be given pain medication and will be unable to drive.

You will likely experience some discomfort following your procedure. This can be controlled with pain medication. Bruising, soreness and inflammation are also common around the area where the catheter was inserted. However, if you experience any of the following, contact your care team:

• Fainting or dizziness
• Shortness of breath
• Numbness, bleeding, swelling, severe pain, coldness or redness at the site of catheter insertion
• Fever that doesn't subside

Chest pain or discomfort following your procedure should be treated as a medical emergency. If this happens, call 911.

You will be asked to avoid strenuous activity for the first 3 days. Afterward, light walking may be recommended. Most people can resume their daily routine (including exercise) within a few weeks. Ask your doctor about when you can return to work and other normal activities.