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Acute Device-Related Thrombus after Watchman Device Implant
Atrial fibrillation is characterized by irregularly irregular heart rhythm with an increased morbidity and mortality. It is associated with an increased risk of thromboembolism due to formation of blood clot in the left atrium. Most of these blood clots are formed in the left atrial appendage. The r...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745096/ https://www.ncbi.nlm.nih.gov/pubmed/31565442 http://dx.doi.org/10.1155/2019/8397561 |
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author | Ajmal, Muhammad Swarup, Vijendra |
author_facet | Ajmal, Muhammad Swarup, Vijendra |
author_sort | Ajmal, Muhammad |
collection | PubMed |
description | Atrial fibrillation is characterized by irregularly irregular heart rhythm with an increased morbidity and mortality. It is associated with an increased risk of thromboembolism due to formation of blood clot in the left atrium. Most of these blood clots are formed in the left atrial appendage. The risk of blood clot formation is reduced with the use of anticoagulants. The patients who cannot take anticoagulants due to an increased bleeding risk can undergo percutaneous left atrial appendage (LAA) closure. A Watchman device is used for this purpose. LAA closure with the Watchman device is associated with some adverse effects, and one of them is device-related thrombus. Currently, there are no specific guidelines for the management of device-related thrombus. We present a case of Watchman device-related thrombus which developed 16 hours after the device placement. We will also discuss various options for the management of acute thrombosis. |
format | Online Article Text |
id | pubmed-6745096 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-67450962019-09-29 Acute Device-Related Thrombus after Watchman Device Implant Ajmal, Muhammad Swarup, Vijendra Case Rep Cardiol Case Report Atrial fibrillation is characterized by irregularly irregular heart rhythm with an increased morbidity and mortality. It is associated with an increased risk of thromboembolism due to formation of blood clot in the left atrium. Most of these blood clots are formed in the left atrial appendage. The risk of blood clot formation is reduced with the use of anticoagulants. The patients who cannot take anticoagulants due to an increased bleeding risk can undergo percutaneous left atrial appendage (LAA) closure. A Watchman device is used for this purpose. LAA closure with the Watchman device is associated with some adverse effects, and one of them is device-related thrombus. Currently, there are no specific guidelines for the management of device-related thrombus. We present a case of Watchman device-related thrombus which developed 16 hours after the device placement. We will also discuss various options for the management of acute thrombosis. Hindawi 2019-09-03 /pmc/articles/PMC6745096/ /pubmed/31565442 http://dx.doi.org/10.1155/2019/8397561 Text en Copyright © 2019 Muhammad Ajmal and Vijendra Swarup. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ajmal, Muhammad Swarup, Vijendra Acute Device-Related Thrombus after Watchman Device Implant |
title | Acute Device-Related Thrombus after Watchman Device Implant |
title_full | Acute Device-Related Thrombus after Watchman Device Implant |
title_fullStr | Acute Device-Related Thrombus after Watchman Device Implant |
title_full_unstemmed | Acute Device-Related Thrombus after Watchman Device Implant |
title_short | Acute Device-Related Thrombus after Watchman Device Implant |
title_sort | acute device-related thrombus after watchman device implant |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745096/ https://www.ncbi.nlm.nih.gov/pubmed/31565442 http://dx.doi.org/10.1155/2019/8397561 |
work_keys_str_mv | AT ajmalmuhammad acutedevicerelatedthrombusafterwatchmandeviceimplant AT swarupvijendra acutedevicerelatedthrombusafterwatchmandeviceimplant |