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LAA Imaging Pre and Post Occluder Device Placement
Seth Kligerman, MD
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KEY FACTS

  • CLINICAL IMPLICATIONS

    • IMAGING

      IMAGING ANATOMY

      • General Anatomic Considerations

        • Critical Anatomic Structures

          • Anatomic Relationships

            CLINICAL IMPLICATIONS

            • Clinical Importance

              • Function & Dysfunction

                IMAGING

                • Echocardiography

                  • ECG-Gated Cardiac CTA With Contrast

                    • Imaging Protocols

                      • Imaging Pitfalls

                        Selected References

                        1. Calkins H et al: 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Europace. 20(1):e1-e160, 2018
                        2. Eng MH et al: Computed tomography for left atrial appendage occlusion case planning. Interv Cardiol Clin. 7(3):367-78, 2018
                        3. Korsholm K et al: Cardiac computed tomography for left atrial appendage occlusion: Acquisition, analysis, advantages, and limitations. Interv Cardiol Clin. 7(2):229-42, 2018
                        4. Landmesser U et al: Left atrial appendage occlusion with the AMPLATZER Amulet device: one-year follow-up from the prospective global Amulet observational registry. EuroIntervention. 14(5):e590-7, 2018
                        5. Morcos R et al: Accuracy of Commonly-Used Imaging Modalities in Assessing Left Atrial Appendage for Interventional Closure: Review Article. J Clin Med. 7(11), 2018
                        6. Xu B et al: Computed tomography measurement of the left atrial appendage for optimal sizing of the Watchman device. J Cardiovasc Comput Tomogr. 12(1):50-5, 2018
                        7. Akin I et al: Left atrial appendage occlusion: A better alternative to anticoagulation? World J Cardiol. 9(2):139-146, 2017
                        8. Asmarats L et al: Percutaneous Left Atrial Appendage Closure: Current Devices and Clinical Outcomes. Circ Cardiovasc Interv. 10(11), 2017
                        9. Chow DH et al: A comparative study of different imaging modalities for successful percutaneous left atrial appendage closure. Open Heart. 4(2):e000627, 2017
                        10. Ellis CR et al: Angiographic Efficacy of the Atriclip Left Atrial Appendage Exclusion Device Placed by Minimally Invasive Thoracoscopic Approach. JACC Clin Electrophysiol. 3(12):1356-1365, 2017
                        11. Goitein O et al: Cardiac CT Angiography (CCTA) predicts left atrial appendage occluder device size and procedure outcome. Int J Cardiovasc Imaging. 33(5):739-747, 2017
                        12. Suradi HS et al: Left atrial appendage closure: outcomes and challenges. Neth Heart J. 25(2):143-151, 2017
                        13. Wang DD et al: Application of 3-Dimensional Computed Tomographic Image Guidance to WATCHMAN Implantation and Impact on Early Operator Learning Curve: Single-Center Experience. JACC Cardiovasc Interv. 9(22):2329-2340, 2016
                        14. Ismail TF et al: CT imaging for left atrial appendage closure: a review and pictorial essay. J Cardiovasc Comput Tomogr. 9(2):89-102, 2015
                        15. Jaguszewski M et al: Cardiac CT and echocardiographic evaluation of peri-device flow after percutaneous left atrial appendage closure using the AMPLATZER cardiac plug device. Catheter Cardiovasc Interv. 85(2):306-12, 2015
                        16. Wunderlich NC et al: Percutaneous interventions for left atrial appendage exclusion: options, assessment, and imaging using 2D and 3D echocardiography. JACC Cardiovasc Imaging. 8(4):472-488, 2015
                        17. Beigel R et al: The left atrial appendage: anatomy, function, and noninvasive evaluation. JACC Cardiovasc Imaging. 7(12):1251-65, 2014
                        18. Freixa X et al: Left atrial appendage occlusion: initial experience with the Amplatzer™ Amulet™. Int J Cardiol. 174(3):492-6, 2014
                        19. Viles-Gonzalez JF et al: The clinical impact of incomplete left atrial appendage closure with the Watchman Device in patients with atrial fibrillation: a PROTECT AF (Percutaneous Closure of the Left Atrial Appendage Versus Warfarin Therapy for Prevention of Stroke in Patients With Atrial Fibrillation) substudy. J Am Coll Cardiol. 59(10):923-9, 2012
                        20. Park JW et al: Left atrial appendage closure with Amplatzer cardiac plug in atrial fibrillation: initial European experience. Catheter Cardiovasc Interv. 77(5):700-6, 2011
                        21. Boston Scientific Manual
                        Related Anatomy
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                        References
                        Tables

                        Tables

                        KEY FACTS

                        • CLINICAL IMPLICATIONS

                          • IMAGING

                            IMAGING ANATOMY

                            • General Anatomic Considerations

                              • Critical Anatomic Structures

                                • Anatomic Relationships

                                  CLINICAL IMPLICATIONS

                                  • Clinical Importance

                                    • Function & Dysfunction

                                      IMAGING

                                      • Echocardiography

                                        • ECG-Gated Cardiac CTA With Contrast

                                          • Imaging Protocols

                                            • Imaging Pitfalls

                                              Selected References

                                              1. Calkins H et al: 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Europace. 20(1):e1-e160, 2018
                                              2. Eng MH et al: Computed tomography for left atrial appendage occlusion case planning. Interv Cardiol Clin. 7(3):367-78, 2018
                                              3. Korsholm K et al: Cardiac computed tomography for left atrial appendage occlusion: Acquisition, analysis, advantages, and limitations. Interv Cardiol Clin. 7(2):229-42, 2018
                                              4. Landmesser U et al: Left atrial appendage occlusion with the AMPLATZER Amulet device: one-year follow-up from the prospective global Amulet observational registry. EuroIntervention. 14(5):e590-7, 2018
                                              5. Morcos R et al: Accuracy of Commonly-Used Imaging Modalities in Assessing Left Atrial Appendage for Interventional Closure: Review Article. J Clin Med. 7(11), 2018
                                              6. Xu B et al: Computed tomography measurement of the left atrial appendage for optimal sizing of the Watchman device. J Cardiovasc Comput Tomogr. 12(1):50-5, 2018
                                              7. Akin I et al: Left atrial appendage occlusion: A better alternative to anticoagulation? World J Cardiol. 9(2):139-146, 2017
                                              8. Asmarats L et al: Percutaneous Left Atrial Appendage Closure: Current Devices and Clinical Outcomes. Circ Cardiovasc Interv. 10(11), 2017
                                              9. Chow DH et al: A comparative study of different imaging modalities for successful percutaneous left atrial appendage closure. Open Heart. 4(2):e000627, 2017
                                              10. Ellis CR et al: Angiographic Efficacy of the Atriclip Left Atrial Appendage Exclusion Device Placed by Minimally Invasive Thoracoscopic Approach. JACC Clin Electrophysiol. 3(12):1356-1365, 2017
                                              11. Goitein O et al: Cardiac CT Angiography (CCTA) predicts left atrial appendage occluder device size and procedure outcome. Int J Cardiovasc Imaging. 33(5):739-747, 2017
                                              12. Suradi HS et al: Left atrial appendage closure: outcomes and challenges. Neth Heart J. 25(2):143-151, 2017
                                              13. Wang DD et al: Application of 3-Dimensional Computed Tomographic Image Guidance to WATCHMAN Implantation and Impact on Early Operator Learning Curve: Single-Center Experience. JACC Cardiovasc Interv. 9(22):2329-2340, 2016
                                              14. Ismail TF et al: CT imaging for left atrial appendage closure: a review and pictorial essay. J Cardiovasc Comput Tomogr. 9(2):89-102, 2015
                                              15. Jaguszewski M et al: Cardiac CT and echocardiographic evaluation of peri-device flow after percutaneous left atrial appendage closure using the AMPLATZER cardiac plug device. Catheter Cardiovasc Interv. 85(2):306-12, 2015
                                              16. Wunderlich NC et al: Percutaneous interventions for left atrial appendage exclusion: options, assessment, and imaging using 2D and 3D echocardiography. JACC Cardiovasc Imaging. 8(4):472-488, 2015
                                              17. Beigel R et al: The left atrial appendage: anatomy, function, and noninvasive evaluation. JACC Cardiovasc Imaging. 7(12):1251-65, 2014
                                              18. Freixa X et al: Left atrial appendage occlusion: initial experience with the Amplatzer™ Amulet™. Int J Cardiol. 174(3):492-6, 2014
                                              19. Viles-Gonzalez JF et al: The clinical impact of incomplete left atrial appendage closure with the Watchman Device in patients with atrial fibrillation: a PROTECT AF (Percutaneous Closure of the Left Atrial Appendage Versus Warfarin Therapy for Prevention of Stroke in Patients With Atrial Fibrillation) substudy. J Am Coll Cardiol. 59(10):923-9, 2012
                                              20. Park JW et al: Left atrial appendage closure with Amplatzer cardiac plug in atrial fibrillation: initial European experience. Catheter Cardiovasc Interv. 77(5):700-6, 2011
                                              21. Boston Scientific Manual