Transcatheter cerebral embolic protection during WATCHMAN procedure in two patients with persistent left atrial appendage thrombus: Case report with review of the literature.
Bryan E-Xin TanJeremiah P DeptaPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
Percutaneous left atrial appendage closure (LAAC) has been increasingly used in patients with atrial fibrillation who are poor candidates for long-term oral anticoagulation. The presence of a left atrial appendage (LAA) thrombus is a contraindication for percutaneous LAAC. Despite oral anticoagulation, persistent thrombus is not uncommon. We describe the use of transcatheter cerebral embolic protection with the Sentinel cerebral protection system during LAAC using WATCHMAN in two atrial fibrillation patients who had persistent LAA thrombus despite oral anticoagulation.
Keyphrases
- left atrial appendage
- atrial fibrillation
- catheter ablation
- oral anticoagulants
- left atrial
- subarachnoid hemorrhage
- direct oral anticoagulants
- minimally invasive
- case report
- heart failure
- percutaneous coronary intervention
- ultrasound guided
- venous thromboembolism
- cerebral ischemia
- brain injury
- radiofrequency ablation
- coronary artery disease
- blood brain barrier