Korean Circ J.  2020 Mar;50(3):281-283. 10.4070/kcj.2019.0305.

Percutaneous Left Atrial Appendage Closure in the Presence of Thrombus Using LAmbre Device and Cerebral Protection System

• Mohandes M
• Pernigotti A
• Morr CI
• Bardají A

• KMID: 2470914
• DOI: http://doi.org/10.4070/kcj.2019.0305

Abstract

No abstract available.

MeSH Terms

Atrial Appendage*
Thrombosis*

Figure

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  Figure 1 TEE at 135o shows a multilobed LAA with small thrombus in superior lobe (left). LAA ostium with maximum diameter of 21 mm (right). TEE = transesophageal echocardiography; LAA = left atrial appendage.

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  Figure 2 Sentinel was introduced by right radial approach with its 2 baskets placed in right brachiocephalic trunk and left common carotid artery, respectively.

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  Figure 3 Partial delivery of umbrella component (left). Concave shape of the LAmbre's cover at the LAA entrance (right). LAA = left atrial appendage.

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  Figure 4 TEE shows proper placement of LAmbre 24/30 mm with its disk covering the LAA entrance (superior right and left). There is a no significant leak at the upper edge (superior left). Three-dimensional TEE depicts the LAmbre' cover (inferior left) at the entrance of LAA. Fluoroscopy image of LAmbre's release after confirmation of proper positioning and device stability (inferior right). TEE = transesophageal echocardiography; LAA = left atrial appendage.

Reference

1. Bellmann B, Rillig A, Leistner DM, et al. Left atrial appendage closure in a patient with left atrial appendage thrombus using a novel fish ball technique. Int J Cardiol. 2017; 234:146–149.

2. Tarantini G, D'Amico G, Latib A, et al. Percutaneous left atrial appendage occlusion in patients with atrial fibrillation and left appendage thrombus: feasibility, safety and clinical efficacy. EuroIntervention. 2018; 13:1595–1602.