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Caged‐in: Successful percutaneous closure of left atrial appendage with Watchman‐FLX in the presence of proximal thrombus
Author(s) -
Briosa e Gala Andre,
Pope Michael T. B.,
Newton James D.,
Dawkins Sam,
Betts Timothy R.
Publication year - 2021
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.15068
Subject(s) - medicine , contraindication , atrial fibrillation , thrombus , left atrial appendage occlusion , percutaneous , cardiology , embolization , stroke (engine) , occlusion , atrial appendage , implant , thromboembolic stroke , surgery , warfarin , sinus rhythm , pathology , mechanical engineering , alternative medicine , engineering
Percutaneous mechanical closure of the left atrial appendage (LAA) is a valuable stroke prevention strategy in patients with atrial fibrillation and contraindication to oral anticoagulation. LAA thrombus is a common finding in patients with atrial fibrillation and frequently fails to resolve despite therapeutic anticoagulation. In this scenario, LAA occlusion device implant is generally discouraged due to the high risk of thrombus dislodgement and embolization; however, alternative management options are limited. We report the first case of a successful LAA occlusion device (Watchman‐FLX) implant in the presence of a proximal thrombus.