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Multiple Thromboembolic Events from a Left Atrial Appendage Occlusion Device.
- Source :
-
The Canadian journal of cardiology [Can J Cardiol] 2018 Mar; Vol. 34 (3), pp. 342.e13-342.e15. Date of Electronic Publication: 2017 Dec 27. - Publication Year :
- 2018
-
Abstract
- Left atrial appendage occlusion devices are an alternative to oral anticoagulation in patients with nonvalvular atrial fibrillation who are at risk of ischemic stroke. Thromboprophylaxis after implantation is recommended, but the optimal regimen is unknown. We report a clinicopathologic case in which thrombus adherent to an incompletely endothelialized WATCHMAN device (Boston Scientific, Marlborough, MA) resulted in multiple thromboembolic events, contributing to a fatal outcome. This case illustrates uncertainties regarding the device's endothelialization process.<br /> (Copyright © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Anticoagulants adverse effects
Atrial Fibrillation diagnostic imaging
Cardiac Catheterization methods
Disease Progression
Echocardiography, Transesophageal methods
Fatal Outcome
Female
Gastrointestinal Hemorrhage physiopathology
Humans
Prosthesis Failure
Recurrence
Thromboembolism diagnostic imaging
Thromboembolism drug therapy
Anticoagulants therapeutic use
Atrial Appendage surgery
Atrial Fibrillation surgery
Gastrointestinal Hemorrhage etiology
Prostheses and Implants adverse effects
Thromboembolism etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1916-7075
- Volume :
- 34
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The Canadian journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 29475536
- Full Text :
- https://doi.org/10.1016/j.cjca.2017.12.017