An Alternative Transseptal Intracardiac Echocardiography Strategy to Guide Left Atrial Appendage Closure: The First Described Case
- 25 June 2014
- journal article
- case report
- Published by Wiley in Journal of Cardiovascular Electrophysiology
- Vol. 25 (11), 1269-1271
- https://doi.org/10.1111/jce.12480
Abstract
Transesophageal echocardiography (TEE) is the standard imaging technique to guide device implantation for left atrial appendage (LAA) closure. Unfortunately, TEE was contraindicated in this patient due to the high risk of variceal hemorrhage. Critical information about the exact anatomic characteristics of the LAA can be obtained using intracardiac echocardiography (ICE). However, standard right‐side views do not allow a complete visualization of the LAA: in particular, a reliable left circumflex coronary artery short axis view, relevant for device positioning, is not always achievable. Transseptal views of the LAA with ICE might be used in planning an appropriate intervention strategy for patients who are not suitable for TEE imaging.Keywords
This publication has 2 references indexed in Scilit:
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- The Clinical Impact of Incomplete Left Atrial Appendage Closure With the Watchman Device in Patients With Atrial Fibrillation: A PROTECT AF (Percutaneous Closure of the Left Atrial Appendage Versus Warfarin Therapy for Prevention of Stroke in Patients With Atrial Fibrillation) SubstudyJournal of the American College of Cardiology, 2012