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Heart and Vascular Center

Lariat Appendage Ligation
Lariat appendage ligation is a new, minimally-invasive procedure offered by the Tallahassee Memorial Heart & Vascular Center dedicated to helping reduce the high risk of stroke in people with an arrhythmia (irregular heartbeat) known as atrial fibrillation. 

Atrial fibrillation is a one of the most common types of irregular heartbeats that patients diagnofsed with arrhythmias experience. In people who have atrial fibrillation there is an increased risk of developing blood clots, because the atrium does not contract correctly. These blood clots can travel from the heart to the brain and cause significant stroke. Often characterized by a “racing” or rapid heart beat, the National Stroke Association estimates that the condition increases a person’s risk of stroke by 500 percent.

Most people are placed on Coumadin, Pradaxa, Xarelto or another type of blood thinner medication to help thin the blood and prevent clotting. However, some people are not able to tolerate these thinners and have complications that prevent them from managing the stroke risk medicinally. Traditionally, these people mafy have had to try a surgical option.

Lariat appendage ligation reduces the risk of stroke back to that of someone who does not have atrial fibrillation. Rather than undergoing surgery, patients can have the appendage “tied off” via wires that enter through small incisions in the chest and groin.

The Lariat is a multi-disciplinary procedure that requires the presence of anesthesia, operators, ancillary staff, ultrasound technicians and representatives from the company. Tallahassee Memorial’s Heart & Vascular Center is currently the only heart center in the region capable of offering this advanced technology.

Talk to your physician to find out if the Lariat appendage ligation is right for you. For more information, view the two short videos below to learn exactly how the procedure is performed and its benefits.

How the Lariat is Performed

About the Lariat Procedure