Incomplete Left Atrial Appendage Occlusion and Thrombus Formation After Watchman Implantation Treated With Anticoagulation Followed by Further Transcatheter Closure With a Second-Generation Amplatzer Cardiac Plug (Amulet Device)

被引:35
作者
Lam, Simon Cheung Chi [1 ]
Bertog, Stefan [1 ]
Sievert, Horst [1 ]
机构
[1] CardioVascular Ctr Frankfurt, D-60389 Frankfurt, Germany
关键词
left atrial appendage closure; fistula; shunts; transseptal cath;
D O I
10.1002/ccd.25456
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of incomplete left atrial appendage (LAA) closure after Watchman device (Atritech, Boston Scientific, Natrick, MA) implantation which subsequently developed a thrombus 3 years after the initial procedure. The thrombus resolved after a short period of anticoagulation with warfarin, and the LAA was successfully occluded with a second-generation Amplatzer Cardiac Plug (Amulet device, AGA, St Jude Medical, Minneapolis, MN). Incomplete LAA closure may be associated with increased risk of thrombus formation and further closure with a second device after a course of anticoagulation may be a reasonable and feasible strategy. (c) 2014 Wiley Periodicals, Inc.
引用
收藏
页码:321 / 327
页数:7
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