Watchman FLX Implantation for Challenging Left Atrial Appendage Anatomy: Case-Based Discussion

Left atrial appendage (LAA) occlusion devices provided an acceptable and valid alternative to anticoagulation among patients with atrial fibrillation who carry high bleeding risk. Watchman device is non-inferior to oral anticoagulation to prevent cerebrovascular accidents. The presence of a longer d...

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Bibliographic Details
Published inCurrent problems in cardiology Vol. 47; no. 9; p. 101266
Main Authors Joury, Abdulaziz, Englert, Joseph A.R., Bernard, Michael, Jenkins, James S., Dinshaw, Homeyar, Gilliland, Yvonne, Qamruddin, Salima
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.09.2022
Subjects
AC
HTN
OS
AF
CAD
ICE
MDCT
LAA
TIA
CVA
PAD
SSS
TEE
PET
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Summary:Left atrial appendage (LAA) occlusion devices provided an acceptable and valid alternative to anticoagulation among patients with atrial fibrillation who carry high bleeding risk. Watchman device is non-inferior to oral anticoagulation to prevent cerebrovascular accidents. The presence of a longer distal portion of the older generation Watchman led to exclusion of patients with prohibitive anatomy of the LAA such as chicken-wing morphology or shallow LAA. Watchman FLX provides a wider range of sizes and can be implanted with complex anatomy or shallow LAA. In the case series, we discuss 3 patients with challenging LAA anatomy that underwent successful Watchman FLX implantation.
Bibliography:ObjectType-Article-2
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ISSN:0146-2806
1535-6280
DOI:10.1016/j.cpcardiol.2022.101266