Work

Threading a needle: percutaneous closure of an incompletely ligated left atrial appendage

Year: 2025

Type: article

Abstract: Atrial fibrillation increases the risk of ischemic stroke by increasing left atrial appendage thrombus formation. Previously surgically ligated atrial appendages can recanalize, which increases stroke risk. Percutaneous ligation of such appendages is technically challenging due to altered morphology but feasible. We present a case of a successful percutaneous closure of a previously incompletely ligated atrial appendage using a WATCHMAN FLX device and discuss our approach to similar cases with challenging anatomy. Thorough pre-procedural imaging for case planning is indispensable and dictates feasibility and procedural success.

Source: Future Cardiology

DOI: 10.1080/14796678.2025.2499449

Authors: Abhinav Sood, Channing Pezet, Fnu Parul, Anubhav Sood, Jagadeesh Kalavakunta, Vishal Gupta

Institutions: Ascension, Western Michigan University, University of Michigan, Michigan Medicine

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W4409903309

FWCI:

Cites: 12

Cited by:

Related to: 10