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Asymptomatic migration of an AMPLATZER ™ Amulet™ left atrial appendage occluder through the mitral valve
An 84‐year‐old woman with a history of hemorrhagic stroke was admitted for a new cerebral ischemic event. While in hospital, she was diagnosed with paroxysmal atrial fibrillation. Owing to her high thromboembolic risk (CHA2DS2‐VASc score of 6) we performed left atrial appendage (LAA) closure using a 22‐mm AMPLATZER™ Amulet™. The procedure was successful. Systematic follow‐up with transthoracic echocardiography 8 hr later revealed that the LAA occluder had migrated and become entrapped in the mitral subvalvular apparatus. At this time, the patient was asymptomatic. The device was recovered percutaneously using...
Source: Catheterization and Cardiovascular Interventions - May 3, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Petru Mester, Antoine Dompnier, Lo ïc Belle Tags: Valvular and Structural Heart Diseases Source Type: research

Asymptomatic migration of an AMPLATZER™ Amulet™ left atrial appendage occluder through the mitral valve
An 84‐year‐old woman with a history of hemorrhagic stroke was admitted for a new cerebral ischemic event. While in hospital, she was diagnosed with paroxysmal atrial fibrillation. Owing to her high thromboembolic risk (CHA2DS2‐VASc score of 6) we performed left atrial appendage (LAA) closure using a 22‐mm AMPLATZER™ Amulet™. The procedure was successful. Systematic follow‐up with transthoracic echocardiography 8 hr later revealed that the LAA occluder had migrated and become entrapped in the mitral subvalvular apparatus. At this time, the patient was asymptomatic. The device was recovered percutaneously using...
Source: Catheterization and Cardiovascular Interventions - May 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Petru Mester, Antoine Dompnier, Loïc Belle Tags: Valvular and Structural Heart Diseases Source Type: research

The management of patients with atrial fibrillation undergoing percutaneous coronary intervention with stent implantation
Current recommendations on the management of patients with atrial fibrillation (AF) undergoing percutaneous coronary intervention with stent (PCI‐S) essentially derive from small, single‐center, retrospective datasets. To obtain larger and better quality data, we carried out the prospective, multicenter Atrial Fibrillation undergoing Coronary Artery Stenting (AFCAS) study. Therefore, consecutive patients with history of or ongoing AF undergoing PCI‐S were enrolled, and occurrence of adverse ischemic and bleeding events recorded during 12 months follow‐up. In this article, we report the in‐hospital observations. O...
Source: Catheterization and Cardiovascular Interventions - August 28, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Axel Schlitt, Andrea Rubboli, Gregory Y.H. Lip, Heli Lahtela, Josè Valencia, Pasi P. Karjalainen, Michael Weber, Mika Laine, Paulus Kirchhof, Matti Niemelä, Saila Vikman, Michael Buerke, K.E. Juhani Airaksinen, Tags: Coronary Artery Disease Source Type: research