Threading a needle: percutaneous closure of an incompletely ligated left atrial appendage.

IF 1 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Future cardiology Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI:10.1080/14796678.2025.2499449

Abhinav Sood, Channing Pezet, Fnu Parul, Anubhav Sood, Jagadeesh Kalavakunta, Vishal Gupta

引用次数: 0

Abstract

Atrial fibrillation increases the risk of ischemic stroke by increasing left atrial appendage thrombus formation. Previously surgically ligated atrial appendages can recanalize, which increases stroke risk. Percutaneous ligation of such appendages is technically challenging due to altered morphology but feasible. We present a case of a successful percutaneous closure of a previously incompletely ligated atrial appendage using a WATCHMAN FLX device and discuss our approach to similar cases with challenging anatomy. Thorough pre-procedural imaging for case planning is indispensable and dictates feasibility and procedural success.

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穿刺针：经皮缝合不完全结扎的左心房附件。

房颤通过增加左心房附件血栓形成而增加缺血性卒中的风险。以前手术结扎的心房附件可以再通，这增加了中风的风险。由于形态学的改变，经皮结扎这种附属物在技术上具有挑战性，但却是可行的。我们提出了一个使用WATCHMAN FLX装置成功经皮关闭先前不完全结扎的心房附件的病例，并讨论了我们对具有挑战性解剖结构的类似病例的方法。彻底的手术前成像对病例规划是必不可少的，并决定可行性和手术成功。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.80

自引率

5.90%

发文量

期刊介绍： Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.