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Caged-in: Successful percutaneous closure of left atrial appendage with Watchman-FLX in the presence of proximal thrombus |
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| Authors: | Andre Briosa e Gala MD Michael T B Pope BM James D Newton MD Sam Dawkins MD PhD Timothy R Betts MD |
| Institution: | 1. Deparment of Cardiology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK;2. Deparment of Cardiology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
Radcliffe Department of Medicine, Division of Cardiovascular Medicine, University of Oxford, Oxford, UK |
| Abstract: | Percutaneous mechanical closure of the left atrial appendage (LAA) is a valuable stroke prevention strategy in patients with atrial fibrillation and contraindication to oral anticoagulation. LAA thrombus is a common finding in patients with atrial fibrillation and frequently fails to resolve despite therapeutic anticoagulation. In this scenario, LAA occlusion device implant is generally discouraged due to the high risk of thrombus dislodgement and embolization; however, alternative management options are limited. We report the first case of a successful LAA occlusion device (Watchman-FLX) implant in the presence of a proximal thrombus. |
| Keywords: | left atrial appendage occlusion proximal thrombus stroke prevention Watchman-FLX |