Incomplete left atrial appendage occlusion and thrombus formation after Watchman implantation treated with anticoagulation followed by further transcatheter closure with a second-generation Amplatzer Cardiac Plug (Amulet device).

Abstract

We report a case of incomplete left atrial appendage (LAA) closure after Watchman device (Atritech, Boston Scientific, Natrick, MA) implantation which subsequently developed a thrombus 3 years after the initial procedure. The thrombus resolved after a short period of anticoagulation with warfarin, and the LAA was successfully occluded with a second-generation Amplatzer Cardiac Plug (Amulet device, AGA, St Jude Medical, Minneapolis, MN). Incomplete LAA closure may be associated with increased risk of thrombus formation and further closure with a second device after a course of anticoagulation may be a reasonable and feasible strategy. © 2014 Wiley Periodicals, Inc.

Journal

Journal ID (iso-abbrev): Catheter Cardiovasc Interv

Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

Publisher: Wiley

ISSN (Electronic): 1522-726X

ISSN (Print): 1522-1946

Publication date (Electronic): Feb 01 2015

Volume: 85

Issue: 2

Affiliations

[1 ] CardioVascular Center Frankfurt, Frankfurt, Germany.

Article

DOI: 10.1002/ccd.25456

PubMed ID: 24550125