title: Closure of Left Atrial Appendage With Persistent Distal Thrombus Using an Amplatzer Amulet Occluder.
abstract: A 73-year-old patient with permanent atrial fibrillation presented for left atrial appendage (LAA) occlusion. Transesophageal echocardiography demonstrated a thrombus in the distal LAA. This image series illustrates a "no touch" technique that was used to ensure successful implantation of an Amplatzer Amulet LAA occlusion device without the use of an embolization protection system.
authors: Department of Cardiology, Heart Center Osnabrück - Bad Rothenfelde, Niels-Stensen-Kliniken, Marienhospital Osnabrück, 49074 Osnabrück, Germany. mathias.lange@ mho.de.
authors: Mathias
authors: M
authors: Lange
authors: Helmut
authors: H
authors: Bültel
authors: Heinrich
authors: H
authors: Weglage
authors: Patrick
authors: P
authors: Löffeld
authors: Thomas
authors: T
authors: Wichter
mesh_terms: D000368:Aged; D020517:Atrial Appendage / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D001281:Atrial Fibrillation / Q000150:complications* / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization / Q000379:methods; D002908:Chronic Disease; D017548:Echocardiography, Transesophageal / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018570:Risk Assessment; D055989:Septal Occluder Device; D020521:Stroke / Q000209:etiology / Q000517:prevention & control; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome