Un art\u00edculo publicado recientemente en el JAMA (Journal of the American Medical Association) destaca los beneficios de la oclusi\u00f3n quir\u00fargica del auricular izquierdo para prevenir eventos tromboemb\u00f3licos\u00a0en pacientes mayores con fibrilaci\u00f3n auricular sometidos a cirug\u00eda card\u00edaca.<\/p>\n
Asociaci\u00f3n entre la oclusi\u00f3n del ap\u00e9ndice auricular izquierdo y la readmisi\u00f3n por tromboembolismo en pacientes con fibrilaci\u00f3n auricular sometidos a cirug\u00eda card\u00edaca concomitante.<\/strong><\/p>\n Friedman DJ, Piccini JP, Wang T, Zheng J, Malaisrie SC, Holmes DR, Suri RM, Mack MJ, Badhwar V, Jacobs JP, Gaca JG, Chow SC, Peterson ED, Brennan JM.<\/p>\n Key Points<\/strong> Findings<\/em> In this retrospective cohort study of 10\u202f524 Medicare recipients with atrial fibrillation undergoing cardiac surgery, surgical left atrial appendage occlusion, compared with no surgical left atrial appendage occlusion, was significantly associated with lower risk of readmission for thromboembolism at 3 years (unadjusted, 4.2% vs 6.2%; adjusted hazard ratio, 0.67).<\/p>\n Meaning<\/em> Surgical left atrial appendage occlusion may be of benefit in preventing thromboembolic events in older patients with atrial fibrillation undergoing cardiac surgery, although randomized trials would be necessary to provide definitive evidence.<\/p>\n <\/p>\n
\nQuestion<\/em> Is surgical left atrial appendage occlusion associated with a reduction in long-term thromboembolic events?<\/p>\n