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Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

162
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
162
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

203
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
203

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Related Experiment Video

Updated: Sep 9, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Transjugular Access for Left Atrial Appendage Closure.

Ahmed Hussein1, Ariana Ehsan2, Adriana Olivares2

  • 1Interventional Cardiology, Tucson Medical Center, Tucson, Arizona, USA.

JACC. Case Reports
|August 29, 2025
PubMed
Summary

Transjugular left atrial appendage closure (LAAC) offers a viable alternative for patients with challenging venous anatomy unsuitable for standard transfemoral access. This approach successfully prevented stroke in high-risk atrial fibrillation patients.

Keywords:
TruSteer sheathWatchman devicealternative venous accessatrial fibrillationleft atrial appendage closurestructural heart interventiontransjugular access

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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
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Last Updated: Sep 9, 2025

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • Percutaneous left atrial appendage closure (LAAC) is a key stroke prevention strategy for atrial fibrillation patients.
  • Transfemoral access is the standard route for LAAC.
  • Certain anatomical limitations can preclude transfemoral access.

Observation:

  • Two patients with atrial fibrillation and contraindications to anticoagulation presented with venous anatomy precluding transfemoral LAAC.
  • Right internal jugular venous access was utilized for trans-septal puncture in both cases.
  • Specialized steerable sheaths and wire techniques facilitated optimal trajectory for device implantation.

Findings:

  • Successful implantation of the Watchman FLX Pro device was achieved in both patients via the transjugular route.
  • No periprocedural complications were observed.
  • Follow-up imaging confirmed stable device position and effective left atrial appendage seal.

Implications:

  • The transjugular approach is a technically feasible alternative for LAAC when transfemoral access is not possible.
  • This method can lead to successful outcomes in anatomically challenging cases with appropriate technique and equipment.
  • Expands treatment options for stroke prevention in complex atrial fibrillation patients.