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Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention Fax Form PRIOR REVIEW/CERTIFICATION FATBACK FORM INCOMPLETE FORMS MAY DELAY PROCESSING ALL NC PROVIDERS MUST PROVIDE THEIR 5

How to fill out percutaneous left atrial appendage

How to fill out percutaneous left atrial appendage (LAA) procedure:

1. Begin by reviewing the patient's medical history, including any previous cardiac procedures, medications, and overall health status.
2. Obtain informed consent from the patient or their legal representative, explaining the risks, benefits, and alternatives of the LAA procedure.
3. Prepare the patient for the procedure, ensuring that they are in a comfortable and sterile environment.
4. Administer appropriate anesthesia to the patient, either general anesthesia or conscious sedation depending on the individual's condition and preference.
5. Access the left atrium through a percutaneous approach, usually via a transseptal puncture or a transaortic approach.
6. Identify the left atrial appendage using fluoroscopic guidance and imaging techniques.
7. Deploy a closure device or an occlusion device into the left atrial appendage to seal it off, preventing the risk of blood clots formation.
8. Confirm the successful closure of the LAA and assess any potential complications or leaks.
9. Remove any catheters or sheaths used during the procedure and ensure hemostasis at the access site.
10. Monitor the patient closely post-procedure, observing for any immediate complications or adverse events.
11. Provide appropriate post-operative care, including pain management, monitoring for any signs of infection or bleeding, and facilitating a smooth recovery process.
12. Follow up with the patient regularly to assess the long-term success of the LAA closure and to address any concerns or additional treatment needs.

Who needs percutaneous left atrial appendage?

1. Patients with atrial fibrillation (AF) who are at a high risk of stroke or systemic embolism.
2. Individuals who have failed or cannot tolerate anticoagulant medications, such as warfarin or direct oral anticoagulants (DOACs), due to complications or side effects.
3. Patients for whom long-term anticoagulation therapy is contraindicated or poses significant risks due to bleeding tendencies, comorbidities, or advanced age.
4. Individuals with recurrent or challenging bleeding complications associated with long-term anticoagulation therapy.
5. Patients who prefer an alternative to lifelong oral anticoagulation therapy and are willing to undergo a percutaneous procedure.

Please note that the decision to undergo percutaneous left atrial appendage closure should be made through thorough consultation and evaluation by a qualified healthcare professional, such as a cardiologist or electrophysiologist, considering an individual's specific medical history, risk factors, and overall health status.

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What is percutaneous left atrial appendage?

Percutaneous left atrial appendage is a minimally invasive procedure to close off the left atrial appendage to reduce the risk of stroke in patients with atrial fibrillation.

Who is required to file percutaneous left atrial appendage?

Patients with atrial fibrillation who are at risk for stroke may be required to undergo percutaneous left atrial appendage.

How to fill out percutaneous left atrial appendage?

To fill out percutaneous left atrial appendage, a medical professional will perform the procedure using a catheter to close off the left atrial appendage.

What is the purpose of percutaneous left atrial appendage?

The purpose of percutaneous left atrial appendage is to reduce the risk of stroke in patients with atrial fibrillation.

What information must be reported on percutaneous left atrial appendage?

The information reported on percutaneous left atrial appendage includes patient demographics, details of the procedure, and any complications.