Percutaneous left atrial appendage closure with superior vascular access

DOI: 10.4244/EIJ-D-22-00435

Roberto Galea
Roberto Galea1, MD; Laurent Roten1, MD; Georgios C.M. Siontis1, MD, PhD; Nicolas Brugger1, MD; Stephan Windecker1, MD; Lorenz Räber1, MD, PhD
1. Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland


Figure 1. LAAC with superior vascular access. LAAC completed in a patient with agenesis of the inferior vena cava (A) by means of superior vascular access with a steerable sheath. B-F)The wrong initial delivery system position (red dotted lines), a direct consequence of the superior vascular access, was corrected by using the new Amplatzer steerable delivery sheath (C, F), with a good degree of LAA sealing before device release (G-H) and at 45 days (I). LAA: left atrial appendage; LAAC: LAA closure

Percutaneous left atrial appendage closure (LAAC) is an alternative therapeutic option for preventing stroke in patients with ...

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