Arrhythmias & electrophysiology

Feasibility of Amulet occluder implantation after failed left atrial appendage occlusion attempt: Insights from the EMERGE LAA postapproval study

Heart RhythmPublished Registry-based cohort study

Authors' conclusion

A high degree of implantation success with a low rate of adverse events can be achieved with the Amulet occluder.

Study context

Population
Patients in the NCDR left atrial appendage occlusion (LAAO) Registry with an Amulet occluder implantation attempt between FDA approval (August 14, 2021) and June 30, 2023
Participants
8,591 patients
Exposure
Amulet occluder implantation after prior failed LAAO vs index LAAO
  • Prior failed LAAOn = 244
Outcome
Implantation success
Methodological detailsanalysis of the EMERGE LAA postapproval study, NCDR LAAO Registry
  • Analysis of the EMERGE LAA postapproval study
  • NCDR LAAO Registry

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Peridevice leak ≤3 mm · 45 days

Achieved in >90% of patients in either group

Safety

Safety composite end point · 7 days or hospital discharge (whichever later)

P = 0.148

Any major adverse event · 45 days

P = 0.497

Any major adverse event — Most adverse events similar between groups
P > .05

Original publication

Feasibility of Amulet occluder implantation after failed left atrial appendage occlusion attempt: Insights from the EMERGE LAA postapproval study. Heart Rhythm. Published 18 May 2024. doi:10.1016/j.hrthm.2024.05.004

Composed by AI from the published abstract and checked against it. How Briefs are made →

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