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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.
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页码:321 / 327
页数:7
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