Implantation of left atrial appendage occlusion devices and complex appendage anatomy: The importance of transesophageal echocardiography

Jesse Jorgensen, Spencer Palmer, Andreas Kalogeropoulos, Takeshi Arita, Peter Block, Randy Martin, Stamatios Lerakis

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)159-161
Number of pages3
JournalEchocardiography
Volume24
Issue number2
DOIs
Publication statusPublished - Feb 2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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