Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava Filters
Percutaneous procedures through femoral access in patients with inferior vena cava (IVC) filter may be at risk of complications. We evaluated the feasibility and safety of left atrial appendage closure (LAAC) through femoral access in patients previously implanted with IVC filter. We described the W...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Linceu Editorial
2021-12-01
|
| Series: | Journal of Cardiac Arrhythmias |
| Subjects: | |
| Online Access: | https://jca.org.br/jca/article/view/3454 |
| _version_ | 1811290205135568896 |
|---|---|
| author | Fabricio Vassallo Luciano Santos Betina Reseck Walker Rodrigo França Christina Madeira Vinícius Mauro Felipe César Lucas Corcino Renato Serpa |
| author_facet | Fabricio Vassallo Luciano Santos Betina Reseck Walker Rodrigo França Christina Madeira Vinícius Mauro Felipe César Lucas Corcino Renato Serpa |
| author_sort | Fabricio Vassallo |
| collection | DOAJ |
| description | Percutaneous procedures through femoral access in patients with inferior vena cava (IVC) filter may be at risk of complications. We evaluated the feasibility and safety of left atrial appendage closure (LAAC) through femoral access in patients previously implanted with IVC filter. We described the WatchmanTM device implantation in two patients with formal contraindication for oral anticoagulation. First patient had a GreenfieldTM filter and the second one an OpteaseTM filter, and in this patient an attempt to withdrawal the filter immediately before the LAAC procedure failed. A femoral approach was performed in both patients using a 14 Fr sheath. Before crossing IVC filters, venographies did not detect any thrombus. All steps of IVC filter crossing were performed under fluoroscopic guidance. No immediate or intrahospital complications related to the procedure occurred. Herein, we presented two cases of successful LAAC closure with Watchman device in patients with two different kinds of IVC filters.
|
| first_indexed | 2024-04-13T04:08:52Z |
| format | Article |
| id | doaj.art-7959e57eae054f1481601dc790e9dd90 |
| institution | Directory Open Access Journal |
| issn | 2674-7472 |
| language | English |
| last_indexed | 2024-04-13T04:08:52Z |
| publishDate | 2021-12-01 |
| publisher | Linceu Editorial |
| record_format | Article |
| series | Journal of Cardiac Arrhythmias |
| spelling | doaj.art-7959e57eae054f1481601dc790e9dd902022-12-22T03:03:09ZengLinceu EditorialJournal of Cardiac Arrhythmias2674-74722021-12-01343Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava FiltersFabricio Vassallo0Luciano Santos1Betina Reseck Walker2Rodrigo França3Christina Madeira4Vinícius Mauro5Felipe César6Lucas Corcino7Renato Serpa8Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil / Hospital Santa Rita Cássia – Vitória (ES), Brazil.Hospital Santa Lúcia – Brasília (DF), Brazil.Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil /Hospital Santa Rita Cássia – Vitória (ES), Brazil.Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil /Hospital Santa Rita Cássia – Vitória (ES), Brazil.Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil /Hospital Santa Rita Cássia – Vitória (ES), Brazil.Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil /Hospital Santa Rita Cássia – Vitória (ES), Brazil.Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil /Hospital Santa Rita Cássia – Vitória (ES), Brazil.Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil /Hospital Santa Rita Cássia – Vitória (ES), Brazil.Instituto de Cardiologia do Espírito Santo – Vitória (ES), Brazil /Hospital Santa Rita Cássia – Vitória (ES), Brazil.Percutaneous procedures through femoral access in patients with inferior vena cava (IVC) filter may be at risk of complications. We evaluated the feasibility and safety of left atrial appendage closure (LAAC) through femoral access in patients previously implanted with IVC filter. We described the WatchmanTM device implantation in two patients with formal contraindication for oral anticoagulation. First patient had a GreenfieldTM filter and the second one an OpteaseTM filter, and in this patient an attempt to withdrawal the filter immediately before the LAAC procedure failed. A femoral approach was performed in both patients using a 14 Fr sheath. Before crossing IVC filters, venographies did not detect any thrombus. All steps of IVC filter crossing were performed under fluoroscopic guidance. No immediate or intrahospital complications related to the procedure occurred. Herein, we presented two cases of successful LAAC closure with Watchman device in patients with two different kinds of IVC filters. https://jca.org.br/jca/article/view/3454Atrial fibrillationOral anticoagulation contraindicationLeft atrial appendage closurePercutaneous interventionVena cava filters |
| spellingShingle | Fabricio Vassallo Luciano Santos Betina Reseck Walker Rodrigo França Christina Madeira Vinícius Mauro Felipe César Lucas Corcino Renato Serpa Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava Filters Journal of Cardiac Arrhythmias Atrial fibrillation Oral anticoagulation contraindication Left atrial appendage closure Percutaneous intervention Vena cava filters |
| title | Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava Filters |
| title_full | Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava Filters |
| title_fullStr | Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava Filters |
| title_full_unstemmed | Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava Filters |
| title_short | Successful Left Atrial Appendage Closure with Watchman Device Implantation in Two Patients with Inferior Vena Cava Filters |
| title_sort | successful left atrial appendage closure with watchman device implantation in two patients with inferior vena cava filters |
| topic | Atrial fibrillation Oral anticoagulation contraindication Left atrial appendage closure Percutaneous intervention Vena cava filters |
| url | https://jca.org.br/jca/article/view/3454 |
| work_keys_str_mv | AT fabriciovassallo successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT lucianosantos successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT betinareseckwalker successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT rodrigofranca successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT christinamadeira successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT viniciusmauro successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT felipecesar successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT lucascorcino successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters AT renatoserpa successfulleftatrialappendageclosurewithwatchmandeviceimplantationintwopatientswithinferiorvenacavafilters |