Streamlining Same-Day Planning for Left Atrial Appendage Closure Procedure with Transesophageal Echocardiography - 2022 Quality Summit presentation (Non-CE)-Streamlining Same-Day Planning for Left Atrial Appendage Closure Procedure with Transesophageal Echocardiography

Streamlining Same-Day Planning for Left Atrial Appendage Closure Procedure with Transesophageal Echocardiography - Masket

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Video Transcription

Video Summary

In this video, Kathleen Maskett, a clinical nurse specialist for the Structural Heart Program at El Camino Health, discusses a new workflow they have developed for the left atrial appendage occlusion procedure. The video starts with an introduction to the speakers and their respective roles in the project. Maskett then provides background information on atrial fibrillation (AF) and its association with an increased risk of stroke. She explains that the Watchman device, approved by the FDA for the closure of the left atrial appendage, is a viable option for AF patients who cannot take oral anticoagulants long-term. She discusses the rise in the number of devices placed in recent years and the impact of COVID-19 on the procedure. The existing workflow for the procedure is explained, including pre-procedure planning and testing, the procedure itself, and post-procedure follow-up. Maskett then introduces the streamlined workflow they implemented, which eliminates the pre-procedure transesophageal echo, resulting in improved efficiency and reduced hospital visits and length of stay. She presents data from their implementation, including the rate of successful procedures and same-day discharges. Overall, the new workflow has improved patient satisfaction and resource utilization. The video concludes with a discussion of future developments and the value proposition of combining imaging with the procedure for true same-day discharge. No credits were granted in the video.

Keywords

Kathleen Maskett

clinical nurse specialist

left atrial appendage occlusion procedure

Watchman device

atrial fibrillation