Nina S. Appareddy , Gabriel Areoye , Shan Tandon , Divyanshi Sood , Suhaib El Khatib , William Charles Stout , Kathleen Brown , George Gibson , Derar Albashaireh , Bhavith Aruni
{"title":"左心耳闭塞术后器械周围漏的塞式封堵一例","authors":"Nina S. Appareddy , Gabriel Areoye , Shan Tandon , Divyanshi Sood , Suhaib El Khatib , William Charles Stout , Kathleen Brown , George Gibson , Derar Albashaireh , Bhavith Aruni","doi":"10.1016/j.crmic.2025.100087","DOIUrl":null,"url":null,"abstract":"<div><div>Peri-device leak (PDL) following left atrial appendage occlusion (LAAO) is particularly problematic in patients with both high thromboembolic and bleeding risk. We present a case series of three patients with atrial fibrillation and high bleeding risk. All three patients underwent LAAO with a Watchman™ and were found to have PDL on follow-up imaging. All three patients underwent successful PDL closure with an Amplatzer™ duct occluder II device with no complications noted. These cases demonstrate that PDL closure can be safely and effectively performed via a plug-based approach. Imaging is critical in determining candidacy for and method of PDL closure.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"8 ","pages":"Article 100087"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A case series of plug-based closure of peri-device leak after left atrial appendage occlusion\",\"authors\":\"Nina S. Appareddy , Gabriel Areoye , Shan Tandon , Divyanshi Sood , Suhaib El Khatib , William Charles Stout , Kathleen Brown , George Gibson , Derar Albashaireh , Bhavith Aruni\",\"doi\":\"10.1016/j.crmic.2025.100087\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Peri-device leak (PDL) following left atrial appendage occlusion (LAAO) is particularly problematic in patients with both high thromboembolic and bleeding risk. We present a case series of three patients with atrial fibrillation and high bleeding risk. All three patients underwent LAAO with a Watchman™ and were found to have PDL on follow-up imaging. All three patients underwent successful PDL closure with an Amplatzer™ duct occluder II device with no complications noted. These cases demonstrate that PDL closure can be safely and effectively performed via a plug-based approach. Imaging is critical in determining candidacy for and method of PDL closure.</div></div>\",\"PeriodicalId\":100217,\"journal\":{\"name\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"volume\":\"8 \",\"pages\":\"Article 100087\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cardiovascular Revascularization Medicine: Interesting Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2950275625000334\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiovascular Revascularization Medicine: Interesting Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950275625000334","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A case series of plug-based closure of peri-device leak after left atrial appendage occlusion
Peri-device leak (PDL) following left atrial appendage occlusion (LAAO) is particularly problematic in patients with both high thromboembolic and bleeding risk. We present a case series of three patients with atrial fibrillation and high bleeding risk. All three patients underwent LAAO with a Watchman™ and were found to have PDL on follow-up imaging. All three patients underwent successful PDL closure with an Amplatzer™ duct occluder II device with no complications noted. These cases demonstrate that PDL closure can be safely and effectively performed via a plug-based approach. Imaging is critical in determining candidacy for and method of PDL closure.
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