From Data to Impact: Harnessing LAAO Registry Insights for Local Quality Improvement - 2025 Quality Summit Presentation (Non-CE)-From Data to Impact: Harnessing LAAO Registry Insights for Local Quality Improvement

Video Transcription

Video Summary

This session focused on leveraging data from the Left Atrial Appendage Occlusion (LAAO) registry to enhance local quality improvement beyond CMS mandates. Dr. Jack Deason from West Virginia University shared insights on standardizing patient evaluation, emphasizing accurate documentation of CHADS-VASc and HAS-BLED scores essential for identifying appropriate candidates for LAAO. He highlighted the importance of multidisciplinary education, structured note templates, and pre-visit documentation to optimize patient selection and reduce cancellations.<br /><br />Dr. Deason discussed procedural success metrics, stressing collaboration among physicians, use of pre-procedural imaging (CT or TEE), and individualizing device selection based on anatomy. He introduced technological advances such as steerable sheaths and safer transeptal puncture tools to improve outcomes. Standardizing procedural techniques, including routine use of vascular closure devices, mattress sutures for bleeding, and protamine to reverse heparin, were key strategies to minimize complications. They also implemented audits of physician-specific outcomes for continuous learning.<br /><br />For post-procedure care, a combination of standardized bedrest, telemetry monitoring, chest X-rays, and bedside ultrasounds (using Butterfly IQ) supports safe same-day discharge. Follow-up protocols include dual antiplatelet therapy and aggressive management of device-related thrombus or leaks to prevent stroke. The session concluded with an open forum emphasizing teamwork, education, and data-driven quality improvements in LAAO care.

Keywords

public reporting

cardiovascular healthcare

National Cardiovascular Data Registry

healthcare quality measurement

transparency

accountability

risk aversion

clinical registries

hospital rankings

transcatheter aortic valve replacement

Left Atrial Appendage Occlusion

LAAO registry

CHADS-VASc score

HAS-BLED score

multidisciplinary education

procedural success metrics

post-procedure care