left atrial appendage occlusion;
Watchman;
pericardial effusion;
D O I:
10.1177/2324709618800108
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
The Watchman device is a transcatheter left atrial appendage (LAA) occluding device used in patients with nonvalvular atrial fibrillation (NVAF) and a high CHADS2-VA2SC score who are poor long-term anticoagulation candidates. Pericardial effusion related to device deployment and perforation can be a life-threatening complication. While not common in hands of experienced operators, management may require surgical intervention. Here we present a rare case of LAA perforation, which was corrected by successful repositioning of the device foregoing the need for surgical management.
机构:
Univ British Columbia, Vancouver Gen Hosp, Div Cardiol, Vancouver, BC, CanadaUniv British Columbia, Vancouver Gen Hosp, Div Cardiol, Vancouver, BC, Canada