Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device)

Simon Cheung Chi Lam; Stefan Bertog; Horst Sievert

doi:10.1002/ccd.25456

Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device)

Simon Cheung Chi Lam, Stefan Bertog, Horst Sievert

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

We report a case of incomplete left atrial appendage (LAA) closure after Watchman device (Atritech, Boston Scientific, Natrick, MA) implantation which subsequently developed a thrombus 3 years after the initial procedure. The thrombus resolved after a short period of anticoagulation with warfarin, and the LAA was successfully occluded with a second-generation Amplatzer Cardiac Plug (Amulet device, AGA, St Jude Medical, Minneapolis, MN). Incomplete LAA closure may be associated with increased risk of thrombus formation and further closure with a second device after a course of anticoagulation may be a reasonable and feasible strategy.

Original language	English (US)
Pages (from-to)	321-327
Number of pages	7
Journal	Catheterization and Cardiovascular Interventions
Volume	85
Issue number	2
DOIs	https://doi.org/10.1002/ccd.25456
State	Published - Feb 1 2015
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2014 Wiley Periodicals, Inc.

Keywords

Fistula/shunts
Left atrial appendage closure
Transseptal cath

Publisher link

10.1002/ccd.25456

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Lam, S. C. C., Bertog, S., & Sievert, H. (2015). Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device). Catheterization and Cardiovascular Interventions, 85(2), 321-327. https://doi.org/10.1002/ccd.25456

Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device). / Lam, Simon Cheung Chi; Bertog, Stefan; Sievert, Horst.
In: Catheterization and Cardiovascular Interventions, Vol. 85, No. 2, 01.02.2015, p. 321-327.

Research output: Contribution to journal › Article › peer-review

Lam, SCC, Bertog, S & Sievert, H 2015, 'Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device)', Catheterization and Cardiovascular Interventions, vol. 85, no. 2, pp. 321-327. https://doi.org/10.1002/ccd.25456

Lam, Simon Cheung Chi ; Bertog, Stefan ; Sievert, Horst. / Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device). In: Catheterization and Cardiovascular Interventions. 2015 ; Vol. 85, No. 2. pp. 321-327.

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Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device)

Abstract

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Keywords

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