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Updated: Aug 7, 2025

28:13
Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
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Complex Left Atrial Appendage Occlusion Using the Novel Amplatzer Steerable Delivery Sheath.
Pablo J Antúnez Muiños1, Sergio López Tejero, Javier Rodríguez Collado
1Hospital Universitario de Salamanca, Paseo de San Vicente 182, PC 37007. Spain. pjantunez@gmail.com.
The Journal of Invasive Cardiology
|March 8, 2023
Summary
Left atrial appendage occlusion is an alternative to blood thinners for atrial fibrillation. The Amplatzer steerable sheath aids in challenging cases, improving success rates and reducing complications.
Area of Science:
- Cardiology
- Medical Devices
Background:
- Left atrial appendage (LAA) occlusion is an alternative to oral anticoagulation for non-valvular atrial fibrillation.
- Challenging LAA anatomies can lead to suboptimal occlusion outcomes.
Purpose of the Study:
- To evaluate the utility of the Amplatzer steerable sheath for LAA occlusion.
- To assess its effectiveness in cases with complex LAA anatomies.
Main Methods:
- Utilized the Amplatzer steerable sheath for LAA occlusion procedures.
- Focused on cases presenting challenging LAA anatomies.
Main Results:
- The Amplatzer steerable sheath demonstrated utility in LAA occlusion.
- Its use was particularly beneficial in patients with challenging LAA anatomies.
- Minor adjustments in the distal end angle were noted to enhance success and minimize complications.
Conclusions:
- The Amplatzer steerable sheath is a valuable tool for LAA occlusion.
- It is especially useful for managing complex LAA anatomies.
- Optimizing sheath manipulation can improve procedural outcomes.

