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Pulmonary artery perforation and coronary air embolism —two fatal outcomes in percutaneous left atrial appendage occlusion
AbstractPercutaneous left atrial appendage (LAA) closure is a routinely performed method to reduce the risk of stroke in patients suffering from atrial fibrillation, when an oral anticoagulation is no longer indicated due to relevant bleeding complications. Currently, the Amplatzer Amulet and the Watchman system are two equally used systems. While there is an acute success rate of more than 95 per cent for this intervention, several minor and major complications such as pericardial effusions, air embolism, vascular lesions in proximity to the heart or even death can occur. Here, we report two cases of very rare fatal outco...
Source: International Journal of Legal Medicine - November 3, 2016 Category: Medical Law Source Type: research

Guideline Covers Managing Antithrombotics Before Procedures
A new guideline from the AAN recommends that people who take antithrombotic medications for stroke should work closely with their physicians or medical care teams to determine whether these medications should be continued to maintain stroke prevention efforts or temporarily stopped to lower the risk of bleeding with the procedure.
Source: American Academy of Neurology - May 29, 2013 Category: Medical Law Source Type: news