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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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
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author Sarcon, Anna
Roy, Dipayon
Laughrun, David
Huntsinger, Mary
Schwartz, Jacqueline
Sohn, Jina
Doshi, Rahul N.
author_facet Sarcon, Anna
Roy, Dipayon
Laughrun, David
Huntsinger, Mary
Schwartz, Jacqueline
Sohn, Jina
Doshi, Rahul N.
author_sort Sarcon, Anna
collection PubMed
description 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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spelling pubmed-61344912018-09-13 Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment Sarcon, Anna Roy, Dipayon Laughrun, David Huntsinger, Mary Schwartz, Jacqueline Sohn, Jina Doshi, Rahul N. J Investig Med High Impact Case Rep Case Report 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. SAGE Publications 2018-09-11 /pmc/articles/PMC6134491/ /pubmed/30214906 http://dx.doi.org/10.1177/2324709618800108 Text en © 2018 American Federation for Medical Research http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Sarcon, Anna
Roy, Dipayon
Laughrun, David
Huntsinger, Mary
Schwartz, Jacqueline
Sohn, Jina
Doshi, Rahul N.
Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment
title Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment
title_full Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment
title_fullStr Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment
title_full_unstemmed Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment
title_short Left Atrial Appendage Occlusion Complicated by Appendage Perforation Rescued by Device Deployment
title_sort left atrial appendage occlusion complicated by appendage perforation rescued by device deployment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134491/
https://www.ncbi.nlm.nih.gov/pubmed/30214906
http://dx.doi.org/10.1177/2324709618800108
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