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. 2019 Jan 2:2019:1376515.
doi: 10.1155/2019/1376515. eCollection 2019.

Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography

Jinlong Zhao  1 , Feng Li  1 , Yueli Zhang  2 , Zhongyun Zhuang  3 , Man Wang  2 , Liang Fu  1 , Yinkai Ni  1 , Zhexin Lu  1 , Zonghui Chen  1 , Cheng Zhang  1
Affiliations

Left Atrial Appendage Occlusion Guided Only by Transesophageal Echocardiography

Jinlong Zhao et al. Cardiol Res Pract. .

Abstract

Aims: To investigate a new method of left atrial appendage occlusion without fluoroscopy.

Methods and results: We performed left atrial appendage occlusion for 14 patients with atrial fibrillation in our hospital. All of the surgeries were completed in a general surgery setting, avoiding fluoroscopy, and in each case, the entire procedure was guided by transesophageal echocardiography (TEE). All of the surgeries were performed through the femoral vein pathway. All operations went smoothly with no serious complications. Postoperative TEE indicated that each device was in a good position, and there was no residual shunt around any of the devices.

Conclusions: TEE-guided left atrial appendage occlusion is safe and reliable, simplifies the procedure, protects doctors and patients from radiation, and is gradually becoming the mainstream operation for left atrial appendage occlusion. This trial is registered with ChiCTR1800018387.

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Figures

Figure 1
Figure 1
Operation procedure of percutaneous occlusion of the left atrial appendage through the femoral vein pathway. (a) The tent structure. (b). Successful atrial septum puncture. (c) Push-and-pull test. (d) Closure with successful release.
See this image and copyright information in PMC

References

    1. Wolf P. A., Abbott R. D., Kannel W. B. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke. 1991;22(8):983–988. doi: 10.1161/01.str.22.8.983. - DOI - PubMed
    1. Reddy V. Y., Holmes D., Jr., Doshi S. K., Neuzil P., Kar S. Safety of percutaneous left atrial appendage closure. Circulation. 2011;123(4):417–424. doi: 10.1161/circulationaha.110.976449. - DOI - PubMed
    1. Bajaj N. S., Parashar A., Agarwal S., et al. Percutaneous left atrial appendage occlusion for stroke prophylaxis in nonvalvular atrial fibrillation. JACC: Cardiovascular Interventions. 2014;7(3):296–304. doi: 10.1016/j.jcin.2013.11.010. - DOI - PubMed
    1. Badheka A. O., Chothani A., Mehta K., et al. Utilization and adverse outcomes of percutaneous left atrial appendage closure for stroke prevention in atrial fibrillation in the United States. Circulation: Arrhythmia and Electrophysiology. 2015;8(1):42–48. doi: 10.1161/circep.114.001413. - DOI - PubMed
    1. Pison L., Potpara T. S., Chen J., Larsen T. B., Bongiorni M. G., Blomstrom-Lundqvist C. Left atrial appendage closure indications, techniques, and outcomes: results of the European Heart Rhythm Association Survey. Europace. 2015;17(4):642–646. doi: 10.1093/europace/euv069. - DOI - PubMed

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