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Review
. 2022 Apr;11(2):143-152.
doi: 10.1016/j.iccl.2021.11.003. Epub 2022 Mar 10.

Pre-cath Laboratory Planning for Left Atrial Appendage Occlusion - Optional or Essential?

Jasneet Devgun  1 , Tom De Potter  2 , Davide Fabbricatore  2 , Dee Dee Wang  3
Affiliations
Review

Pre-cath Laboratory Planning for Left Atrial Appendage Occlusion - Optional or Essential?

Jasneet Devgun et al. Interv Cardiol Clin. 2022 Apr.

Abstract

In the wake of rapid advancement in cardiovascular procedural technologies, physician-led preprocedural planning utilizing multi-modality imaging training is increasingly recognized as invaluable for procedural accuracy. Left atrial appendage occlusion (LAAO) is one such procedure in which complications such as device leak, cardiac injury, and device embolization can be decreased substantially with incorporation of physician driven imaging and digital tools. We discuss the benefits of cardiac CT and 3D printing in preprocedural planning for the Heart Team, as well as novel applications by physicians of intraprocedural 3D angiography and dynamic fusion imaging. Furthermore, incorporation of computational modeling and artificial intelligence (AI) may yield promise. For optimal patient-centric procedural success, we advocate for standardized preprocedural imaging planning by physicians within the Heart Team as an essential part of LAAO.

Keywords: 3D printing; Atrial fibrillation; Cardiac CT; Imaging; Left atrial appendage; Left atrial appendage occlusion; Structural heart disease.

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Conflict of interest statement

Disclosure Dr D.D. Wang is a consultant for Edwards Lifesciences, Boston Scientific, Abbott, and Neochord. Dr D.D. Wang receives a research grant from Boston Scientific assigned to employer Henry Ford Health System not associated with this article. Dr T. De Potter consults for and received research grants not associated with this article from Boston Scientific, for which all invoices and payments are made directly to nonprofit “Cardiovascular Research Institute Aalst.” All other authors report no relevant financial disclosures.

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