The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)
Interventions for structural heart disease
Transcatheter occlusion with an Amplatzer™ Vascular Plug II for incomplete surgical ligation of left atrial appendage
EuroIntervention 2015;11:e1 published online e-article July 2015. DOI: 10.4244/EIJV11I3A67
Ignacio Cruz-Gonzalez1*, MD, PhD; Antonio Arribas-Jimenez1, MD, PhD; Javier Rodríguez-Collado1, MD; Jose C. Moran2, MD; Pedro L. Sanchez1, MD, PhD
1. Department of Cardiology, Institute of Biomedical Research of Salamanca (IBSAL), University Hospital of Salamanca, Salamanca, Spain; 2. Department of Neurology, Institute of Biomedical Research of Salamanca (IBSAL), University Hospital of Salamanca, Sa
A 56-year-old female with permanent atrial fibrillation and a history of mitral commissurotomy and left atrial appendage (LAA) ligation presented with spontaneous intracerebral haemorrhage under warfarin treatment and a stroke a few days later. A transoesophageal echocardiogram (TEE) demonstrated residual communication between the left atrium and LAA (Figure 1A, Moving image 1).
Figure 1. Baseline and post-procedural TEE, 3D-TEE and angiographic images. A) Patent LAA visualised by TEE, 3D-TEE and LAA angiogram. B) TEE, 3D-TEE and LA angiogram showed a well-seated device, with no residual flow.
After an LAA angiogram (Figure 1A, Moving image 2), a 12 mm Amplatzer™ Vascular Plug ...