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Updated: Oct 19, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Practical Applications of Concomitant Pulmonary Vein Isolation and Left Atrial Appendix Closure Device Implantation
Dafne van Rijn1, Astrid A Hendriks1, Anne-Marie M E Noten1
1Department of Clinical Electrophysiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands.
Abstract:
Pulmonary vein isolation (PVI) using cryoballoon causes acute tissue edema of the osteal region of the pulmonary veins and the left atrium. In two cases combining PVI with an implantation of a left atrial appendage closure device led to malsizing of the device, device shouldering, and a paraprosthetic residual flow. (Level of Difficulty: Advanced.).
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