Outcomes of Left Atrial Appendage Occlusion in Patients With Cardiac Amyloidosis

•Patients with cardiac amyloidosis (CA) and atrial fibrillation are at high risk for thromboembolic as well as bleeding complications. However, there is a paucity of data for left atrial appendage occlusion in these patients.•We found that while there was no significant difference in overall composite primary outcome (death, stroke, transient ischemic attack, and thromboembolic events) between patients with and without CA, those with CA had outcomes similar to patients without CA with intermediate to high CHA<sub>2</sub>DS<sub>2</sub>-VASc scores.•A propensity matched analysis similarly revealed significantly worse outcomes in patients with CA.

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Publication Details

Journal
Structural Heart
Published
2026-01-15
DOI
https://doi.org/10.1016/j.shj.2026.100795
Primary Topic
Amyloidosis: Diagnosis, Treatment, Outcomes
Type
article
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article

Outcomes of Left Atrial Appendage Occlusion in Patients With Cardiac Amyloidosis

Marcie Berger, Sonia Kshatri, Divyanshu Mohananey, Garg Jalaj et al.
Structural Heart
Amyloidosis: Diagnosis, Treatment, Outcomes
article

Outcomes of Left Atrial Appendage Occlusion in Patients With Cardiac Amyloidosis

Marcie Berger, Sonia Kshatri, Divyanshu Mohananey, Garg Jalaj, Mohammad Assadi Shalmani, Jake Luo, David Lewandowski
article en

Abstract

•Patients with cardiac amyloidosis (CA) and atrial fibrillation are at high risk for thromboembolic as well as bleeding complications. However, there is a paucity of data for left atrial appendage occlusion in these patients.•We found that while there was no significant difference in overall composite primary outcome (death, stroke, transient ischemic attack, and thromboembolic events) between patients with and without CA, those with CA had outcomes similar to patients without CA with intermediate to high CHA<sub>2</sub>DS<sub>2</sub>-VASc scores.•A propensity matched analysis similarly revealed significantly worse outcomes in patients with CA.

Structural HeartVol. 10(4)
Medical College of Wisconsin (US), Loma Linda University (US), University of Wisconsin–Milwaukee (US)
Good health and well-being
Openalex Percentile: Top 87%
Amyloidosis: Diagnosis, Treatment, Outcomes
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Outcomes of Left Atrial Appendage Occlusion in Patients With Cardiac Amyloidosis — Marcie Berger, Sonia Kshatri, et al. · Structural Heart (2026) | TGRS Research Map | TGRS