[HSF] Routine closure of the left atrial appendage?

[Nasser F. Abou'Seada]

may I ask a naive question ....
what is wrong with suturing the LAA in case it is indicated to be
obliterated ?
any reason to pay for more costly instruments / consumables ?

NFA


On 7/23/07, Dr. Roberto Battellini <battr at medizin.uni-leipzig.de> wrote:
>
> John,
> Is this clip similar to the cava clip? We used it in old times for
> pulmonary
> embolism before the umbrellas time.
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von
> Jbflegejr at aol.com
> Gesendet: Montag, 23. Juli 2007 15:35
> An: OpenHeart-L at lists.hsforum.com
> Betreff: Re: [HSF] Routine closure of the left atrial appendage?
>
> It seems to me that the Cosgrove clip is no more likely to secure reliable
> closure of the LAA than a stapler or for that matter a suture line. The
> line
> of
> closure can be same with all three methods, the problem of trabeculation
> on
> the atrial side of the closure would be the same, and risk to the
> circumflex
>
> coronary artery would be the same. Any of the three methods should be more
> effective that ligation. I predict that the clip will cost more than
> $1000;
> it
> wouldn't be worth developing for less. John Flege
>
>
>
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