title: Two in a single procedure: combined approach for MitraClip implantation and left atrial appendage occlusion using the Watchman device.
abstract: Percutaneous mitral valve repair (MVR) using MitraClip is an effective alternative treatment for patients with severe mitral valve insufficiency and high perioperative risk for surgery. Atrial fibrillation is frequent in patients needing MVR and some of these patients have contraindications for oral anticoagulation. Combining MitraClip implantation and occlusion of the left atrial appendage (LAA) may be of value in these patients with high thromboembolic risk. We report the first case of combined MitraClip procedure and percutaneous LAA closure in a single procedure.
authors.affiliation: Heart Center Bad Neustadt/Saale, Department for Electrophysiology, Salzburger Leite 1, 97616 Bad Neustadt/Saale. anschade@web.de.
authors.forename: Anja
authors.initials: A
authors.lastname: Schade
authors.forename: Sebastian
authors.initials: S
authors.lastname: Kerber
authors.forename: Karsten
authors.initials: K
authors.lastname: Hamm
mesh_terms: D017130:Angioplasty / Q000379:methods*; D000925:Anticoagulants; D020517:Atrial Appendage / Q000503:physiopathology*; D001281:Atrial Fibrillation / Q000503:physiopathology / Q000628:therapy; D015897:Comorbidity; D000075202:Contraindications; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000503:physiopathology / Q000628:therapy*; D012307:Risk Factors; D055989:Septal Occluder Device; D013525:Surgical Instruments; D060205:Therapeutic Occlusion / Q000295:instrumentation / Q000379:methods*; D013923:Thromboembolism / Q000453:epidemiology; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants