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An Amulet to Say "Big is Not Enough"
Gianpiero D'Amico, Marco Mojoli, Giuseppe Tarantini1
1Ospedale di Padova, Centro Cardiologico Gallucci, Clinica Cardiologica, Via Giustiniani, 2, 35128 Padova, Italy. giuseppe.tarantini.1@gmail.com.
The Journal of Invasive Cardiology
|February 4, 2016
Summary
Percutaneous closure of a large left atrial appendage in non-valvular atrial fibrillation was achieved using the Amplatzer Amulet device. This case demonstrates the device
Area of Science:
- Cardiology
- Medical Devices
Background:
- Non-valvular atrial fibrillation increases stroke risk.
- Left atrial appendage (LAA) closure is an alternative to anticoagulation.
- Large LAA with narrow neck pose closure challenges.
Observation:
- A patient with non-valvular atrial fibrillation presented with a severely enlarged LAA and a narrow neck.
- The Amplatzer Amulet device (St. Jude Medical) was utilized for closure.
Findings:
- Successful percutaneous closure of the large LAA with a narrow neck was achieved.
- The 34 mm Amplatzer Amulet device proved effective in this challenging anatomy.
Implications:
- The Amplatzer Amulet device is a viable option for LAA closure in complex cases.
- Percutaneous LAA closure can be feasible even with large appendages and narrow necks.
- This approach offers an alternative for patients with non-valvular atrial fibrillation unsuitable for anticoagulation.
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