TY - JOUR
T1 - Implantation of left atrial appendage occlusion devices and complex appendage anatomy
T2 - The importance of transesophageal echocardiography
AU - Jorgensen, Jesse
AU - Palmer, Spencer
AU - Kalogeropoulos, Andreas
AU - Arita, Takeshi
AU - Block, Peter
AU - Martin, Randy
AU - Lerakis, Stamatios
PY - 2007/2
Y1 - 2007/2
N2 - Percutaneous delivery of left atrial appendage (LAA) occluding devices represents a novel approach for stroke prevention in patients with atrial fibrillation. Transesophageal echocardiography (TEE) has a pivotal role throughout these procedures, facilitating device size selection and ensuring optimal deployment of the device. We report a case of an LAA occluding device implantation in which apparent proper positioning on fluoroscopy was determined by TEE to be malpositioning with a nonocclusive, perpendicular orientation to the plane of the LAA ostium. This problem appeared to be related to a complex, multilobed LAA anatomy and was readily resolved by repositioning of the device under TEE guidance.
AB - Percutaneous delivery of left atrial appendage (LAA) occluding devices represents a novel approach for stroke prevention in patients with atrial fibrillation. Transesophageal echocardiography (TEE) has a pivotal role throughout these procedures, facilitating device size selection and ensuring optimal deployment of the device. We report a case of an LAA occluding device implantation in which apparent proper positioning on fluoroscopy was determined by TEE to be malpositioning with a nonocclusive, perpendicular orientation to the plane of the LAA ostium. This problem appeared to be related to a complex, multilobed LAA anatomy and was readily resolved by repositioning of the device under TEE guidance.
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U2 - 10.1111/j.1540-8175.2007.00369.x
DO - 10.1111/j.1540-8175.2007.00369.x
M3 - Article
C2 - 17313547
AN - SCOPUS:33846799177
SN - 0742-2822
VL - 24
SP - 159
EP - 161
JO - Echocardiography
JF - Echocardiography
IS - 2
ER -