title: An endovascular approach to cardioembolic stroke prevention in atrial fibrillation patients.
abstract: 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.
authors.affiliation: Cardiovascular Center Bethanien, Frankfurt, Germany.
authors.forename: Toshiko
authors.initials: T
authors.lastname: Nakai
authors.forename: Michael
authors.initials: M
authors.lastname: Lesh
authors.forename: Stefan
authors.initials: S
authors.lastname: Ostermayer
authors.forename: Kai
authors.initials: K
authors.lastname: Billinger
authors.forename: Horst
authors.initials: H
authors.lastname: Sievert
mesh_terms: 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*