Lariat Appendage Ligation

Having atrial fibrillation, or AFib, increases your risk of stroke by up to five times. Lariat appendage ligation is a minimally invasive procedure that reduces this risk in patients who cannot take blood thinners.
This procedure requires expert skills and vast resources, so it is only available at select hospitals across the country. We are the only heart center in the region offering this advanced technology.

AFib and Stroke

AFib is a one of the most common types of irregular heartbeats patients diagnosed with arrhythmias experience. Patients with atrial fibrillation have 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.

Preventing Stroke Without Blood Thinners

Most people are placed on Coumadin, Pradaxa, Xarelto or another type of blood thinner medication to help thin the blood and prevent clotting. Some people are not able to tolerate these thinners. These people may have only had surgical options in the past.

About the Lariat Procedure

Lariat appendage ligation reduces your risk of stroke by tying off the appendage where blood clots normally form. This is done using a catheter and wires that enter the heart through small incisions in the chest and groin. Open chest surgery is not required.

Once completed, your risk of stroke is reduced back to that of someone who does not have atrial fibrillation. This is a multi-disciplinary procedure that requires the presence of anesthesia, operators, ancillary staff, ultrasound technicians and representatives from the company.

How is the Lariat Procedure Performed?

Please watch the two short videos below to learn how the Lariat procedure is performed.