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

Mohamad Alkhouli
Mohamad Alkhouli1,2, MD, FACC; Zakeih Chaker3, MD; Jim Mills1, MD; Bryan Raybuck1, MD
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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