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Clinical cases in LAA occlusion : indication, techniques, devices, implantation

Author: Martin W Bergmann; Apostolos Tzikas; Nina Wunderlich
Publisher: Cham, Switzerland : Springer, [2017]
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
This concise practical guide is designed to facilitate the clinical decision-making process in the management of LAA occlusion procedures by reviewing a number of cases and defining the various diagnostic and management decisions open to clinicians. Clinical Cases in LAA Occlusion is well illustrated but concise, enabling the reader to obtain relevant information regarding both standard and unusual cases in a rapid,  Read more...
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Genre/Form: Electronic books
Additional Physical Format: Printed edition:
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Martin W Bergmann; Apostolos Tzikas; Nina Wunderlich
ISBN: 9783319514314 3319514318 3319514296 9783319514291
OCLC Number: 992987921
Description: 1 online resource
Contents: Acknowledgments; Chapter 1: Background: Stroke Prevention in Patients with Atrial Fibrillation; 1.1 Rationale for LAA Closure in 2017: Background; 1.2 Stroke Prevention in Patients with Atrial Fibrillation: Role of Pulmonary Vein Isolation; 1.3 Reality of Oral Anticoagulation in 2017; 1.4 Risk of Bleeding with Oral Anticoagulation; 1.5 Stroke Prevention in AF Patients Following Acute Coronary Syndromes; 1.6 Indications for LAA Occlusion in 2017; References; Chapter 2: Safety and Efficacy of LAA Closure; 2.1 Randomized Trials on LAA Closure with the Watchman Device. 2.2 Prospective Registry Data on LAA Closure with the Watchman Device from the US2.3 Prospective Registry Data on LAA Closure with the Watchman Device from Europe; 2.4 Registry Data on LAA Closure with the ACP and Amulet from Europe; References; Chapter 3: Anatomy and Imaging of the LAA; 3.1 Important Anatomical and Histological Aspects with Regard to LAA Closure; 3.1.1 Overview; 3.1.2 Important Surrounding Structures; 3.1.3 The Left Atrial Appendage; 3.1.3.1 Ostium; 3.1.3.2 Neck; 3.1.3.3 Appendage Body; 3.1.4 The Atrial Septum; 3.2 Pre-Procedural Imaging of the LAA. 3.2.1 Transthoracic Echocardiography3.2.2 Transesophageal Echocardiography; 3.2.2.1 Anatomical Imaging of the LAA; 3.2.2.2 Device Specific Measurements; 3.2.3 Computed Tomography and Magnetic Resonance Imaging; 3.3 Intraprocedural Imaging; 3.3.1 Transseptal Puncture; 3.3.2 Positioning of the Delivery Sheath and Device Deployment; 3.3.3 Assessment of the Final Result; 3.3.4 Monitoring of Complications; 3.4 Post-Procedural Imaging; References; Chapter 4: Access to the Left Atrium; 4.1 Preparation of Transseptal Puncture; 4.2 Puncture of the Fossa Ovalis; 4.3 Handling of Complications. 4.4 Technical Modifications of Left Atrium AccessChapter 5: Practical Watchman Implantation; 5.1 Device Features; 5.2 Sheath Exchange; 5.3 Sizing the LAA Watchman Landing Zone; 5.4 Watchman Implantation Step-by-Step; 5.5 Release Criteria; 5.6 Sheath Removal and Hemostasis; 5.7 Post-Procedural Care and Drug Regimen; Chapter 6: Practical Watchman Implantation: Case Examples; 6.1 Case Examples for the Watchman LAA Occluder; 6.1.1 Shallow LAA: Watchman Implantation with "Shoulder" (Case 1); 6.1.2 Dual Lobe LAA (Case 2); 6.1.3 LAA with Inferior Take-off (Case 3). 6.1.4 LAA with Chicken Wing Morphology (Case 4)6.1.5 LAA with Dual Lobe Anatomy (Case 5); 6.1.6 LAA with Single Lobe (Case 6); 6.1.7 Multilobe LAA (Case 7); 6.1.8 Multilobe, Large LAA and Transseptal Puncture (Broccoli-Type, Case 8); 6.1.9 Large LAA Closed by Two Devices ("Kissing Watchman", Case 9); Chapter 7: Amplatzer Amulet Implantation; 7.1 Device Features; 7.2 Step by Step; 7.2.1 Before Puncture; 7.2.2 Vascular Access: Transseptal Puncture; 7.2.3 Device Sizing; 7.2.4 Device Preparation; 7.2.5 Stiff Wire: Sheath Exchange; 7.2.6 Device Introduction and Deployment.
Responsibility: Martin W. Bergmann, Apostolos Tzikas, Nina C. Wunderlich.

Abstract:

This concise practical guide is designed to facilitate the clinical decision-making process in the management of LAA occlusion procedures by reviewing a number of cases and defining the various diagnostic and management decisions open to clinicians. Clinical Cases in LAA Occlusion is well illustrated but concise, enabling the reader to obtain relevant information regarding both standard and unusual cases in a rapid, easy to digest format. Each case includes a narrative description and patient management tips.

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