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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Percutaneous Transhepatic Venous Access for Left Atrial Appendage Closure in a Patient with Left Sided Inferior Vena
Patrick C Magnus1, Adam Chodosh1, Ari Salis1
1Concord Hospital Cardiovascular Institute, Concord Hospital, 250 Pleasant Street, Concord, NH 03301, United States of America.
Abstract:
The transfemoral venous approach is the standard for Left Atrial Appendage Closure (LAAC) using the WATCHMAN device. However in patients without a patent inferior vena cava, an alternate access site can be utilized. We present a case of a patient with left sided inferior vena cava with hemiazygos continuation who had clinical indication for LAAC and in whom a transhepatic approach was successfully utilized.
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