clip closure
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Cureus ◽  
2021 ◽  
Author(s):  
Justin Chuang ◽  
Naveena Luke ◽  
Khushbu Patel ◽  
Jordan Burlen ◽  
Ali Nawras

Author(s):  
Seth D. Crockett ◽  
Mouen Khashab ◽  
Douglas K. Rex ◽  
Ian S. Grimm ◽  
Matthew T. Moyer ◽  
...  

Author(s):  
Fabrizio Rosati ◽  
Gijs E. Maat ◽  
Mattia A. E. Valente ◽  
Massimo A. Mariani ◽  
Stefano Benussi

Author(s):  
Fabrizio Rosati ◽  
Gijs de Maat ◽  
Mattia A. E. Valente ◽  
Massimo Mariani ◽  
Stefano Benussi

Epicardial surgical clip is showed to be a safe and effective tool in order to achieve a complete left atrial appendage (LAA) exclusion thus reducing the risk of stroke in patients with atrial fibrillation. Historically, other methods as surgical ligation, internal oversewing or external stapling showed to be largely uneffective with an incidence of LAA residual flow ranging from 25% to 35% thus, increasing per se 5- to 10-fold the risk of stroke. Epicardial LAA exclusion by means of external clip could be potentially released under transesophageal echocardiographic guidance thus increasing the procedural success rate of complete closure with no residual stump left.


2021 ◽  
Vol 116 (1) ◽  
pp. S1047-S1047
Author(s):  
Justin Chuang ◽  
Naveena Luke ◽  
Khushbu Patel ◽  
Sami Ghazaleh ◽  
Jordan Burlen ◽  
...  

Endoscopy ◽  
2021 ◽  
Author(s):  
Pierre Lafeuille ◽  
Timothee Wallenhorst ◽  
Alexandru Lupu ◽  
Jeremie Jacques ◽  
Thomas Lambin ◽  
...  

ABSTRACT Objective: Gastrointestinal (GI) fistula, a life-threatening condition, represents a therapeutic challenge. Rescue surgery could be hazardous and/or impact quality of life justifying endoscopic con-servative approach including mucosal abrasion, clip closure or stent diversion with moderate success rates in the long term. We assessed whether Fistulas Endoscopic Submucosal Dissection with clip Closure (FESDC) could lead to complete resolution of fistulas even if previous endoscopic therapy failed. Results: 23 patients with GI fistulas were retrospectively included, 57% of those were defined as refractory fistulas since previous endoscopic treatment failed. Tight immediate sealing was obtained for 19 patients (83% [95% CI: 61%, 95%]) who received FESDC. Long term closure (>3 months) was obtained in 14 cases (61% [95% CI: 39%, 80%]) with a median follow-up of 20 months. Ad-verse events occurred in 9% of cases. Previous local malignancy (p=0.077) or radiation therapy (p=0.047) were associated with a higher risk of failure. Conclusion: The new FESDC strategy is safe and allows permanent endoscopic closure of GI fistulas in 61% of the patients, and 54% of those with previous attempt. Further studies are war-ranted to determine the place of this technic in the management of chronic GI fistula.


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