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J Am Coll Cardiol Intv, 2009; 2:594-600, doi:10.1016/j.jcin.2009.05.005
© 2009 by the American College of Cardiology Foundation
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Percutaneous Left Atrial Appendage Occlusion for Patients in Atrial Fibrillation Suboptimal for Warfarin Therapy

5-Year Results of the PLAATO (Percutaneous Left Atrial Appendage Transcatheter Occlusion) Study

Peter C. Block, MD*,*, Steven Burstein, MD{dagger}, Paul N. Casale, MD{ddagger}, Paul H. Kramer, MD§, Paul Teirstein, MD||, David O. Williams, MD, Mark Reisman, MD#

* Emory University, Atlanta, Georgia
{dagger} Los Angeles Cardiology Associates, Los Angeles, California
{ddagger} The Heart Group, Lancaster, Pennsylvania
§ Shawnee Mission Medical Center, Shawnee, Kansas
|| Scripps Memorial Hospital, San Diego, California
The Rhode Island Hospital, Providence, Rhode Island
# Swedish Medical Center, Seattle, Washington


Figure 1
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Figure 1 Difference Between the Expected Versus Observed Stroke/TIA Rates in the PLAATO U.S. Feasibility Study

The purple bar represents the expected stroke/transient ischemic attack (TIA) rate calculated from the patient population CHADS2 score (6.6%). The actual observed stroke/TIA rate was 3.8% (depicted by the blue bar). PLAATO = Percutaneous Left Atrial Appendage Transcatheter Occlusion.

 

Figure 2
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Figure 2 Kaplan-Meier Analysis of Time to MAE

The table depicts the number of years after the index procedure, the actual number of patients at risk at each year end, the number of events, and the percentage of patients free of major adverse events (MAEs). *12 subjects completed the 5-year follow-up visit prior to early study termination; {dagger}17 subjects had a total of 18 MAEs. One subject experienced 2 MAE events. Solid line = product-limit estimate curve; circles = censored objectives. PLAATO = Percutaneous Left Atrial Appendage Transcatheter Occlusion.

 




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