Watchman FLX Implantation for Challenging Left Atrial Appendage Anatomy: Case-Based Discussion

被引：1

作者：

Joury, Abdulaziz ^{[1
,2
]}

Englert, Joseph A. R., III ^{[1
,3
]}

Bernard, Michael ^{[1
,3
]}

Jenkins, James S. ^{[1
,3
]}

Dinshaw, Homeyar ^{[3
]}

Gilliland, Yvonne ^{[1
,3
]}

Qamruddin, Salima ^{[1
,3
]}

机构：

[1] Ochsner Med Ctr, Dept Cardiol, New Orleans, LA 70121 USA

[2] King Fahad Med City, King Salman Heart Ctr, Riyadh, Saudi Arabia

[3] Univ Queensland, Ochsner Clin Sch, Sch Med, New Orleans, LA 70121 USA

来源：

CURRENT PROBLEMS IN CARDIOLOGY | 2022年 / 47卷 / 09期

关键词：

CLOSURE DEVICE; FIBRILLATION; EXPERIENCE; ECHOCARDIOGRAPHY; OCCLUSION; TEE;

D O I：

10.1016/j.cpcardiol.2022.101266

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Left atrial appendage (LAA) occlusion devices provided an acceptable and valid alternative to anticoagulation among patients with atrial fibrillation who carry high bleeding risk. Watchman device is non-inferior to oral anticoagulation to prevent cerebrovascular accidents. The presence of a longer distal portion of the older generation Watchman led to exclusion of patients with prohibitive anatomy of the LAA such as chicken-wing morphology or shallow LAA. Watchman FLX provides a wider range of sizes and can be implanted with complex anatomy or shallow LAA. In the case series, we discuss 3 patients with challenging LAA anatomy that underwent successful Watchman FLX implantation.

引用

页数：18

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