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Circulation: Arrhythmia and Electrophysiology 2020-Jan

The Left Atrial Appendage Morphology Improves Prediction of Stagnant Flow and Stroke Risk in Atrial Fibrillation.

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Shadi Yaghi
Andrew Chang
Gian Ignacio
Erica Scher
Nikhil Panda
Antony Chu
Michael Wu
Aaron Lord
Brian Grory
Karen Furie

Keywords

Abstract

The left atrial appendage (LAA) is the most common site of thrombus formation in patients with atrial fibrillation. Therefore, better knowledge of the morphology, physiology, and function of the LAA may provide a better estimate of stroke risk. The LAA morphology is currently classified into 4 categories: chicken-wing (CW), windsock, cauliflower, and cactus. Chicken-wing is the most common and carries lower risk. This classification system, however, lacks consistent inter-rater reliability and correlation with stroke risk.

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