Shared Decision-Making and Patient Decision Aids for Percutaneous Left Atrial Appendage Occlusion.

ABSTRACT:

Importance

Experts recommend a shared decision-making (SDM) process before percutaneous left atrial appendage occlusion (pLAAO) in patients with atrial fibrillation, and the Centers for Medicare & Medicaid Services (CMS) require SDM with the use of a patient decision aid (DA) as a condition for reimbursement. However, little is known about how these guidelines and policies have influenced practice.

Objective

To describe overall trends in reported SDM and use of DAs for pLAAO and to identify key patient, operator, and institutional factors associated with their use.

Design, setting, and participants

This cohort study analyzed data from October 1, 2022, to June 30, 2024, from the American College of Cardiology's National Cardiovascular Data Registry (NCDR) LAAO Registry

SUBMITTER: Rager JB 

PROVIDER: S-EPMC12905655 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature