Role of Transesophageal Echocardiography during Left Atrial Appendage Occlusion Device Closure in a Patient with Non-Valvular Atrial Fibrillation and Angiodysplasia of the Colon
نویسندگان
چکیده
Atrial fibrillation is the most common arrhythmia associated with significant mortality and morbidity secondary to thrombo-embolism. To prevent this thrombo-embolism oral anticoagulation therapy is the recommended treatment. In patients with contraindications to oral anticoagulation therapy, percutaneous left atrial appendage occlusion device is indicated. TEE is essential to guide in all the stages of LAA device deployment. Right from pre-procedure screening, to guiding during deployment, to rule out any complications and post-procedure surveillance and monitoring long term outcomes.
منابع مشابه
A Semi-Automated Algorithm for Segmentation of the Left Atrial Appendage Landing Zone: Application in Left Atrial Appendage Occlusion Procedures
Background: Mechanical occlusion of the Left atrial appendage (LAA) using a purpose-built device has emerged as an effective prophylactic treatment in patients with atrial fibrillation at risk of stroke and a contraindication for anticoagulation. A crucial step in procedural planning is the choice of the device size. This is currently based on the manual analysis of the “Device Landing Zone” fr...
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A clear question arises: why a cheaper, effective, treatment as left atrial appendage closure (LAAC) for non-valvular atrial fibrillation (NVAF) couldn ́t reach a broader use? The cost of the device for LAAC + procedure itself in Germany is estimated in €9,136 [2], slightly superior to 1-year treatment with PCSK9 inhibitors [1]. The figures are similar in USA: the cost for LAAC procedure + 2 tra...
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