Open AccessDurable Single Shot Cryoballoon Isolation of the Left Atrial Appendage Followed by Percutaneous Left Atrial Appendage Closure
Author(s) -
Stefano Bordig,
Laura Perrotta,
Alexander Fürnkranz,
Fabrizio Bologna,
Boris Schmidt,
K.R. Julian Chun
Publication year - 2015
Publication title -
circulation arrhythmia and electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.684
H-Index - 102
eISSN - 1941-3149
pISSN - 1941-3084
DOI - 10.1161/circep.115.002885
Subject(s) - appendage , closure (psychology) , percutaneous , medicine , cardiology , isolation (microbiology) , atrial appendage , atrial fibrillation , anatomy , biology , law , microbiology and biotechnology , political science , sinus rhythm
A 73-year-old paroxysmal atrial fibrillation (AF) male patient (CHADSVASC, 3; HASBLED, 3) was referred to our center for staged AF ablation and left atrial appendage (LAA) closure. Previously, the patient had experienced gastric bleeding on Apixaban. Therefore, we agreed with the patient on additional LAA isolation during AF ablation if electric triggers from the LAA were present. After a single transseptal puncture, selective pulmonary veins (PVs) and LAA angiographies were performed. The 28 mm second generation cyroballoon (CB2; Arctic Front Advance, Medtronic, USA) was advanced into the left atrium. The inner lumen circumferential multipolar catheter (Achieve 20 mm, Medtronic, USA) demonstrated automatic activity in the LAA. Therefore, the CB2 was inflated and positioned at the LAA ostium aiming for …
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