scholarly journals Transhepatic Vascular Access for Implantation of a Watchman Left Atrial Appendage Closure Device

Reports ◽  
2018 ◽  
Vol 1 (2) ◽  
pp. 15 ◽  
Author(s):  
Ramez Morcos ◽  
Haider Al Tahii ◽  
Priya Bansal ◽  
Rupesh Manam ◽  
Brijeshwar Maini
Keyword(s):  
Venous Thrombosis ◽  
Vascular Access ◽  
Congenital Anomalies ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Venous Occlusion ◽  
Closure Device ◽  
Left Atrial Appendage Closure ◽  
Watchman Device ◽  
Transhepatic Access

Conventional access through femoral veins may be limited due to tortuosity and venous occlusion secondary to venous thrombosis or congenital anomalies. Another alternative is subclavian veins, but the difficulty in catheter manipulation and stability makes it less favorable in comparison to the transhepatic access for the delivery of the Watchman device.

scholarly journals Left atrial appendage closure device implantation via transhepatic vascular access: a case report

2020 ◽  
Author(s):  
Pegah Zare ◽  
Luis Rechani ◽  
Shaun Smithson
Keyword(s):  
Atrial Fibrillation ◽  
Vascular Access ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Femoral Vein ◽  
Venous Access ◽  
Atrial Appendage ◽  
Closure Device ◽  
Left Atrial Appendage Closure ◽  
Watchman Device

Abstract Background In patients with non-valvular atrial fibrillation, an estimated 90% of thrombi are located in the left atrial appendage. The WATCHMAN device is a left atrial appendage closure device that is an alternative therapeutic option to reduce the risk of systemic embolization in patients who are intolerant of long-term oral anticoagulation. It can be deployed in the left atrial appendage using a transseptal approach via the femoral vein. Transhepatic venous access is an alternative route for the delivery of the device in a patient with difficult vascular access. Case summary An 81-year-old man with persistent non-valvular atrial fibrillation, heart failure with reduced ejection fraction (HFrEF), and diabetes mellitus was deemed a poor candidate for anticoagulation due to recurrent falls and gastrointestinal bleeding. He was selected for a left atrial appendage closure. The initial procedure was aborted after significant resistance to device advancement was encountered in the right femoral vein. Lower extremity venography demonstrated totally occluded femoral and iliac veins bilaterally. The decision was made to implant the device via a transhepatic approach. The procedure had no complications and the patient was discharged on rivaroxaban and aspirin after 3 days. Discussion Transhepatic venous access is a viable option in patients with poor femoral access for implantation of the WATCHMAN device. It can be done safely. Knowledge of this procedural alternative can greatly enhance patient care.

scholarly journals B-PO03-012 LEFT ATRIAL APPENDAGE CLOSURE DEVICE ASSOCIATED WITH LARGE THROMBUS

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S193-S194
Author(s):  
Kristin Babb ◽  
Emrie D. Tomaiko ◽  
Carla Lockhart ◽  
J. Peter Weiss ◽  
H. Kenith Fang ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Closure Device ◽  
Left Atrial Appendage Closure

scholarly journals Percutaneous Retrieval of a Left Atrial Appendage Closure Device

2021 ◽  
Author(s):  
Achille Gaspardone ◽  
Maria Benedetta Giannico ◽  
Roberto Cancellieri ◽  
Laura Velardi ◽  
Antonio Giuseppe Posteraro ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Closure Device ◽  
Left Atrial Appendage Closure ◽  
Percutaneous Retrieval

scholarly journals PERIDEVICE LEAK AND DEVICE SIZING IN PATIENTS RECEIVING LEFT ATRIAL APPENDAGE CLOSURE WITH THE WATCHMAN DEVICE

2021 ◽  
Vol 77 (18) ◽  
pp. 955
Author(s):  
Lauren Sharan Ranard ◽  
Elena Donald ◽  
Shmuel Chen ◽  
Omar Khalique ◽  
Nadira Hamid ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Left Atrial Appendage Closure ◽  
Watchman Device

Autopsy Findings of Left Atrial Appendage Closure Device

2021 ◽  
pp. 107384
Author(s):  
Masaaki Nakase ◽  
Masahiko Asami ◽  
Kazuyuki Yahagi ◽  
Yu Sato ◽  
Atsuhito Nakayama ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Closure Device ◽  
Left Atrial Appendage Closure ◽  
Autopsy Findings
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