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Review
. 2023 Nov 27;16(22):2695-2707.
doi: 10.1016/j.jcin.2023.10.046.

Device-Related Thrombus After Left Atrial Appendage Occlusion: Clinical Impact, Predictors, Classification, and Management

Mohamad Alkhouli  1 , Hasan Alarouri  2 , Anders Kramer  3 , Kasper Korsholm  4 , Jeremy Collins  5 , Ole De Backer  6 , Hoda Hatoum  7 , Jens Erik Nielsen-Kudsk  4
Affiliations
Free article
Review

Device-Related Thrombus After Left Atrial Appendage Occlusion: Clinical Impact, Predictors, Classification, and Management

Mohamad Alkhouli et al. JACC Cardiovasc Interv. .
Free article

Abstract

Despite the unprecedented advances in the left atrial appendage occlusion field, device-related thrombus (DRT) remains an unresolved issue with the therapy. This paper aims to provide a state-of-the-art review of the literature on the incidence, clinical impact, predictors and management of DRT and propose a novel classification of DRT and hypoattenuated thickening.

Keywords: atrial fibrillation; device-related thrombus; hypoattenuated thickening; left atrial appendage occlusion; stroke.

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Conflict of interest statement

Funding Support and Author Disclosures Dr Alkhouli is on the advisory boards of Boston Scientific, Abbott, and Philips. Dr Nielsen-Kudsk is on the advisory boards of Boston Scientific and Philips. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.