The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for hypertension and stroke

Double device closure for large or bilobar left atrial appendage anatomy

EuroIntervention 2020;16:e1039-e1040. DOI: 10.4244/EIJ-D-19-00394

1. Division of Cardiology, West Virginia School of Medicine, Morgantown, WV, USA; 2. Department of Cardiovascular Medicine, Mayo Clinic Alix School of Medicine, Rochester, MN, USA; 3. Department of Medicine, West Virginia School of Medicine, Morgantown, WV, USA




Figure 1. Case examples of double device closure in large or bilobar LAA anatomy. A) – E) Case 1. Sequential double device closure (WATCHMAN   AVP II) for a large bilobar LAA. F) – J) Case 2. Simultaneous double device closure (two WATCHMANs) for a bilobar LAA with two discrete ostia. K) – O) Case 3. Simultaneous double device closure (WATCHMAN+AVP II) for a bilobar LAA. Ant: anterior; AVP: AMPLATZER Vascular Plug; Pos: posterior

The WATCHMAN™ device (Boston Scientific, Marlborough, MA, USA) is the only approved left atrial appendage occlusion (LAAO) device in the USA1. Despite its good performance, ...

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