Threading a needle: percutaneous closure of an incompletely ligated left atrial appendage

被引：0

作者：

Sood, Abhinav ^{[1
]}

Pezet, Channing ^{[2
]}

Parul, Fnu ^{[3
]}

Sood, Anubhav ^{[1
]}

Kalavakunta, Jagadeesh ^{[1
]}

Gupta, Vishal ^{[1
]}

机构：

[1] Ascens Borgess Hosp, Dept Intervent Cardiol, 1521 Gull Rd, Kalamazoo, MI 49048 USA

[2] Western Michigan Univ, Homer Stryker MD Sch Med, Kalamazoo, MI USA

[3] Univ Michigan Hlth, Sparrow Hosp, MSU, Lansing, MI USA

来源：

FUTURE CARDIOLOGY | 2025年 / 21卷 / 07期

关键词：

Atrial fibrillation; incomplete ligation; left atrial appendage occlusion; stroke; WATCHMAN; ASSOCIATION;

D O I：

10.1080/14796678.2025.2499449

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial fibrillation increases the risk of ischemic stroke by increasing left atrial appendage thrombus formation. Previously surgically ligated atrial appendages can recanalize, which increases stroke risk. Percutaneous ligation of such appendages is technically challenging due to altered morphology but feasible. We present a case of a successful percutaneous closure of a previously incompletely ligated atrial appendage using a WATCHMAN FLX device and discuss our approach to similar cases with challenging anatomy. Thorough pre-procedural imaging for case planning is indispensable and dictates feasibility and procedural success.

引用

页码：467 / 471

页数：5

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