Left Atrial Thrombus After Complete Left Atrial Appendage Exclusion With LARIAT Device

被引：5

作者：

Koranne, Ketan P. ^{[1
]}

Fernando, Rajeev R. ^{[1
]}

Laing, Susan T. ^{[1
]}

机构：

[1] Univ Texas Hlth Sci Ctr Houston, Div Cadiovasc Med, Dept Internal Med, Houston, TX 77030 USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2015年 / 85卷 / 02期

关键词：

LARIAT; left atrial thrombus; left atrial appendage closure; INITIAL-EXPERIENCE; STROKE; FIBRILLATION; LIGATION; RISK;

D O I：

10.1002/ccd.25549

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 74-year-old woman with paroxysmal atrial fibrillation underwent left atrial appendage (LAA) exclusion with a LARIAT snare device. Transesophageal echocardiogram one month later demonstrated a left atrial thrombus at orifice of the completely occluded LAA that subsequently resolved with two months of anticoagulation. This case highlights that LAA ligation with LARIAT device continues to pose a risk for left atrial thrombosis in the immediate post-operative period. It also emphasizes the need for further evidence regarding antiplatelet and anticoagulation therapy in these patients. (c) 2014 Wiley Periodicals, Inc.

引用

页码：E54 / E57

页数：4

共 11 条

[1] Percutaneous Left Atrial Appendage Suture Ligation Using the LARIAT Device in Patients With Atrial Fibrillation Initial Clinical Experience [J].

Bartus, Krzysztof ;

Han, Frederick T. ;

Bednarek, Jacek ;

Myc, Jacek ;

Kapelak, Boguslaw ;

Sadowski, Jerzy ;

Lelakowski, Jacek ;

Bartus, Stanislaw ;

Yakubov, Steven J. ;

Lee, Randall J. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 62 (02) :108-118

[2] Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation [J].

Blackshear, JL ;

Odell, JA .

ANNALS OF THORACIC SURGERY, 1996, 61 (02) :755-759

[3]

Briceno DF, 2013, HEART RHYTHM

[4] The left atrial appendage: our most lethal human attachment! Surgical implications [J].

Johnson, WD ;

Ganjoo, AK ;

Stone, CD ;

Srivyas, RC ;

Howard, M .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2000, 17 (06) :718-722

[5] Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiographic study [J].

Katz, ES ;

Tsiamtsiouris, T ;

Applebaum, RM ;

Schwartzbard, A ;

Tunick, PA ;

Kronzon, I .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (02) :468-471

[6] Catheter-Based Left Atrial Appendage (LAA) Ligation for the Prevention of Embolic Events Arising From the LAA Initial Experience in a Canine Model [J].

Lee, Randall J. ;

Bartus, Krzysztof ;

Yakubov, Steven J. .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2010, 3 (03) :224-229

[7] RESECTION OF THE LEFT AURICULAR APPENDIX - A PROPHYLAXIS FOR RECURRENT ARTERIAL EMBOLI [J].

MADDEN, JL .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1949, 140 (09) :769-772

[8] Initial Experience With a Novel Percutaneous Left Atrial Appendage Exclusion Device in Patients With Atrial Fibrillation, Increased Stroke Risk, and Contraindications to Anticoagulation [J].

Massumi, Ali ;

Chelu, Mihail Gabriel ;

Nazeri, Alireza ;

May, Stephen Allen ;

Afshar-Kharaghan, Hamid ;

Saeed, Mohammad ;

Razavi, Mehdi ;

Rasekh, Abdi .

AMERICAN JOURNAL OF CARDIOLOGY, 2013, 111 (06) :869-873

[9] Thromboembolus from a ligated left atrial appendage [J].

Rosenzweig, BP ;

Katz, E ;

Kort, S ;

Schloss, M ;

Kronzon, I .

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2001, 14 (05) :396-398

[10] Early results with the LARIAT device for left atrial appendage exclusion in patients with atrial fibrillation at high risk for stroke and anticoagulation [J].

Stone, Diana ;

Byrne, Timothy ;

Pershad, Ashish .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2015, 86 (01) :121-127

← 1 2 →