An Endovascular Approach to Cardioembolic Stroke Prevention in Atrial Fibrillation Patients |
| |
| Authors: | TOSHIKO NAKAI¶ § ,MICHAEL LESH¶ § ,STEFAN OSTERMAYER,KAI BILLINGER, HORST SIEVERT |
| |
| Affiliation: | From the Cardiovascular Center Bethanien, Frankfurt, Germany;, University of California, San Francisco, California;, and Appriva Medical, Sunnyvale, California |
| |
| Abstract: | ![]()
This report is of a 62-year-old woman presenting with a 3-year history of chronic atrial fibrillation (AF) and unable to tolerate chronic warfarin therapy due to bleeding episodes and unstable INR values. Additional high risk factors for stroke are a history of congestive heart failure and previous embolic stroke. Percutaneous left atrial appendage transcatheter occlusion (PLAATO™) was performed to seal the LAA. A transesophageal echocardiography (TEE) at the 1- and 6-month follow-up showed no device migration and no new thrombus related to the implant. The patient has been doing well on postprocedure aspirin with no embolic events. (PACE 2003; 26[Pt. II]:1604–1606) |
| |
| Keywords: | atrial fibrillation left atrial appendage thromboembolism stroke |
|
|
