Implantation of left atrial appendage occlusion devices and complex appendage anatomy: The importance of transesophageal echocardiography

被引：10

作者：

Jorgensen, Jesse ^{[1
]}

Palmer, Spencer ^{[1
]}

Kalogeropoulos, Andreas ^{[1
]}

Arita, Takeshi ^{[1
]}

Block, Peter ^{[1
]}

Martin, Randy ^{[1
]}

Lerakis, Stamatios ^{[1
]}

机构：

[1] Emory Univ, Sch Med, Atlanta, GA USA

来源：

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 2007年 / 24卷 / 02期

关键词：

transesophageal echocardiography; atrial appendage; heart catheterization; atrial fibrillation; medical devices;

D O I：

10.1111/j.1540-8175.2007.00369.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Percutaneous delivery of left atrial appendage (LAA) occluding devices represents a novel approach for stroke prevention in patients with atrial fibrillation. Transesophageal echocardiography (TEE) has a pivotal role throughout these procedures, facilitating device size selection and ensuring optimal deployment of the device. We report a case of an LAA occluding device implantation in which apparent proper positioning on fluoroscopy was determined by TEE to be malpositioning with a nonocclusive, perpendicular orientation to the plane of the LAA ostium. This problem appeared to be related to a complex, multilobed LAA anatomy and was readily resolved by repositioning of the device under TEE guidance.

引用

页码：159 / 161

页数：3

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