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Updated: Mar 14, 2026
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Left Atrial Appendage Closure Under Intracardiac Echocardiographic Guidance: Feasibility and Comparison With
Yae Matsuo1, Petr Neuzil2, Jan Petru2
1Department of Cardiology, Nemocnice Na Homolce-Homolka Hospital, Prague, Czech Republic Department of Cardiology, Gunma University Graduate School of Medicine, Maebashi, Japan baroslinde@yahoo.co.jp.
Background:
Transcatheter left atrial appendage closure is an alternative therapy for stroke prevention in atrial fibrillation patients. These procedures are currently guided with transesophageal echocardiography and fluoroscopy in most centers. As intracardiac echocardiography (ICE) is commonly used in other catheter-based procedures, we sought to determine the safety and effectiveness of intracardiac echocardiography-guided left atrial appendage closure with the Watchman device.
Methods And Results:
A total of 27 patients (11 males, 77.0±8.5 years) with atrial fibrillation receiving Watchman left atrial appendage closure under intracardiac echocardiography guidance at a single center were investigated. All patients were implanted successfully. There were no major procedural complications. The overall procedure-related complication rate was 14.8%, mainly due to access site hematoma. Transesophageal echocardiography demonstrated successful closure of the left atrial appendage in all patients at 45 days after device implant.
Conclusions:
Transcatheter left atrial appendage closure with intracardiac echocardiography guidance is safe and feasible.
