Epicardial percutaneous or surgical left atrial appendage closure devices

Device name	Company	Design	Device sizes (mm)	Approval status
LARIAT	SentreHeart	Endocardial and epicardial percutaneous access required. Magnetically-assisted snaring of LAA.	LAA sizes up to 40 width, 20 height, 70 length	FDA approval CE Mark (for tissue apposition)
AtriClip	AtriCure	Surgical/thoracotomy approach. Parallel clip with polyester mesh.	35, 40, 45, 50	FDA approval CE Mark
TigerPaw II	Marquet	Surgical approach. Compliant soft silicone fastener.	Current class 1 recall, not commercially available	FDA approval CE Mark
AEGIS	AEGIS Medical Innovations	Epicardial subxiphoid percutneous approach. Electrode-guided navigation for LAA tissue capture.		Not yet
Cardioblate Closure System	Medtronic	Epicardial approach. Silicone band covered by polyester fabric.		Not yet

LAA: left atrial appendage.

Graphic 105505 Version 2.0