title: First-in-man Percutaneous LAA Closure With an Amplatzer Amulet and TriGuard Embolic Protection Device in a Patient With LAA Thrombus.
abstract: Percutaneous left atrial appendage (LAA) closure is currently utilized for the prophylaxis of thromboembolic cerebrovascular accidents in patients with non-valvular atrial fibrillation. The presence of LAA thrombus is usually considered a contraindication for the procedure, since there is a high risk of thrombus embolization. While reports in the literature have shown the feasibility of LAA closure in the presence of LAA thrombus with certain cerebral embolic protection devices, we present the first-in-man LAA closure of a patient with LAA thrombus using the TriGuard Embolic Protection Device.
authors.affiliation: Interventional Cardiology Unit, San Raffaele Scientific Institute, 60 Via Olgettina, 20132 Milan, Italy. f.delfuria@gmail.com.
authors.forename: Francesca
authors.initials: F
authors.lastname: Del Furia
authors.forename: Marco B
authors.initials: MB
authors.lastname: Ancona
authors.forename: Francesco
authors.initials: F
authors.lastname: Giannini
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Jabbour
authors.forename: Damiano
authors.initials: D
authors.lastname: Regazzoli
authors.forename: Antonio
authors.initials: A
authors.lastname: Mangieri
authors.forename: Azeem
authors.initials: A
authors.lastname: Latib
authors.forename: Antonio
authors.initials: A
authors.lastname: Colombo
authors.forename: Matteo
authors.initials: M
authors.lastname: Montorfano
mesh_terms: D000369:Aged, 80 and over; D000792:Angiography; D020517:Atrial Appendage / Q000000981:diagnostic imaging / Q000601:surgery*; D001281:Atrial Fibrillation / Q000150:complications*; D006328:Cardiac Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D057505:Embolic Protection Devices; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D055989:Septal Occluder Device; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*