Cardioform Septal Occluder for the Closure of a Peri-Device Leak After Initial Watchman Implantation

Left atrial appendage occlusion has become a safe and effective alternative for stroke-risk reduction among patients with non-valvular atrial fibrillation (AF). Although complete closure is ideal, residual peri-device leaks (PDL) are not uncommon and have been associated with an increased residual r...

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Detalles Bibliográficos
Autores principales: Sleiman, Jose R, Lewis, Antonio J, Perez, Eduardo J, Asher, Craig R, Cubeddu, Roberto J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8177093/
https://www.ncbi.nlm.nih.gov/pubmed/34113525
http://dx.doi.org/10.7759/cureus.15439
Descripción
Sumario:Left atrial appendage occlusion has become a safe and effective alternative for stroke-risk reduction among patients with non-valvular atrial fibrillation (AF). Although complete closure is ideal, residual peri-device leaks (PDL) are not uncommon and have been associated with an increased residual risk of stroke. PDL closure has been proposed as an alternate strategy to allow for the safe discontinuation of oral anticoagulation. We describe the safety and feasibility of successful PDL closure using a non-fenestrated Cardioform (Gore Medical, Flagstaff, Arizona) septal occluder after initial Watchman (Boston Scientific, Marlborough, Massachusetts) implantation.

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