An endovascular approach to cardioembolic stroke prevention in atrial fibrillation patients.
This report is of a 62-year-old woman presenting with a 3-year history of chronic atrial fibrillation (AF) and unable to tolerate chronic warfarin therapy due to bleeding episodes and unstable INR values. Additional high risk factors for stroke are a history of congestive heart failure and previous embolic stroke. Percutaneous left atrial appendage transcatheter occlusion (PLAATO ) was performed to seal the LAA. A transesophageal echocardiography (TEE) at the 1- and 6-month follow-up showed no device migration and no new thrombus related to the implant. The patient has been doing well on postprocedure aspirin with no embolic events.
Nakai
Toshiko
T
Cardiovascular Center Bethanien, Frankfurt, Germany.
Lesh
Michael
M
Ostermayer
Stefan
S
Billinger
Kai
K
Sievert
Horst
H
D020517:Atrial Appendage / Q000000981:diagnostic imaging / Q000601:surgery*; D001281:Atrial Fibrillation / Q000150:complications*; D006328:Cardiac Catheterization; D017548:Echocardiography, Transesophageal; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants; D015641:Radiography, Interventional; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*; D013923:Thromboembolism / Q000209:etiology / Q000517:prevention & control*