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Impact of left atrial appendage occlusion device position on potential determinants of device-related thrombus: a patient-specific in silico study.

Zhaoyang ZhongYiting GaoSoma KovácsVivian VijDominik NellesLukas SpanoGeorg NickenigSimon SonntagOle De BackerLars SøndergaardAlexander SedaghatPetra Mela
Published in: Clinical research in cardiology : official journal of the German Cardiac Society (2023)
In this in silico study, both LAAO device type and implant position showed an impact on potential markers of DRT in terms of blood stasis, platelet adhesion and endothelial dysfunction. Our results present a mechanistic basis for clinically observed risk factors of DRT and the proposed in silico model may aid in the optimization of device development and procedural aspects.
Keyphrases
  • risk factors
  • left atrial appendage
  • molecular docking
  • atrial fibrillation
  • escherichia coli
  • molecular dynamics simulations