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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...

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Autores principales: Ajmal, Muhammad, Swarup, Vijendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
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.
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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
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