Arrhythmias & electrophysiology

Transcatheter Left Atrial Appendage Exclusion: Preclinical and Early Clinical Results With the Laminar Device

JACC Cardiovasc IntervPublished Preclinical and early clinical feasibility study

Authors' conclusion

The preclinical and early clinical results demonstrate a promising safety and efficacy profile for the Laminar LAA exclusion device.

Study context

Population
Healthy canines and humans with nonvalvular AF at risk of ischemic stroke and systemic thromboembolism
Participants
10 vs 15
Comparison
Canines vs Human
  • Caninesn = 10
  • Humann = 15
Outcome
Procedural success (device implantation in intended location without residual LAA leak >5 mm by TEE); safety: freedom from stroke, systemic embolism, pericardial effusion or tamponade, life-threatening/major bleeding, or death
Follow-up
12 months postimplantation
Methodological detailssingle-group
  • Single-group

Main finding

As reported in the abstract

GroupValuePeridevice leak (PDL) or device-related thrombus (DRT) at 45 and 150 days
Canines10 events0
Human15 events

Value

Canines10 events
Human15 events

Peridevice leak (PDL) or device-related thrombus (DRT) at 45 and 150 days

Canines0
Human— not stated in the abstract

Safety

Safety events (human subjects) · 12 months postimplantation
0 · events

Original publication

Transcatheter Left Atrial Appendage Exclusion: Preclinical and Early Clinical Results With the Laminar Device. JACC Cardiovasc Interv. Published 7 June 2023. doi:10.1016/j.jcin.2023.04.028

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