Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment

The Watchman device is a transcatheter left atrial appendage (LAA) occluding device used in patients with nonvalvular atrial fibrillation (NVAF) and a high CHADS2-VA2SC score who are poor long-term anticoagulation candidates. Pericardial effusion related to device deployment and perforation can be a...

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Detalles Bibliográficos
Autores principales: Sarcon, Anna, Roy, Dipayon, Laughrun, David, Huntsinger, Mary, Schwartz, Jacqueline, Sohn, Jina, Doshi, Rahul N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134491/
https://www.ncbi.nlm.nih.gov/pubmed/30214906
http://dx.doi.org/10.1177/2324709618800108
Descripción
Sumario:The Watchman device is a transcatheter left atrial appendage (LAA) occluding device used in patients with nonvalvular atrial fibrillation (NVAF) and a high CHADS2-VA2SC score who are poor long-term anticoagulation candidates. Pericardial effusion related to device deployment and perforation can be a life-threatening complication. While not common in hands of experienced operators, management may require surgical intervention. Here we present a rare case of LAA perforation, which was corrected by successful repositioning of the device foregoing the need for surgical management.

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