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

Percutaneous left atrial appendage closure in a surgically ligated left atrial appendage

DOI: 10.4244/EIJ-D-21-00624

1. The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

Figure 1. LAA closure in post-surgical ligation LAA. A) Post-surgical ligation LAA with small orifice, as shown at cardiac CT analysis. B) Three-dimensional reconstruction of the LAA. C) Cardiac CT measurements of the LAA orifice. D-F) Optimal predicted fluoroscopic projection or implant angle to facilitate cannulation of the small LAA orifice and secure a safe and effective LAA closure. G) ICE imaging from the LUPV position showing persistent flow into the LAA. H) Angiogram through 6 Fr multipurpose catheter confirming selective LAA cannulation. I) Final deployment of the AMPLATZER Vascular Plug III ...

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