Volume 12, Issue 7, Pages (July 2015)

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Volume 12, Issue 7, Pages 1524-1531 (July 2015) Feasibility and clinical efficacy of left atrial ablation for the treatment of atrial tachyarrhythmias in patients with left atrial appendage closure devices Christian-Hendrik Heeger, MD, Andreas Rillig, MD, Tina Lin, MD, Shibu Mathew, MD, Sebastian Deiss, MD, Christine Lemes, MD, Maichel Botros, MD, Andreas Metzner, MD, Erik Wissner, MD, FHRS, Karl-Heinz Kuck, MD, FHRS, Feifan Ouyang, MD, Roland Richard Tilz, MD Heart Rhythm Volume 12, Issue 7, Pages 1524-1531 (July 2015) DOI: 10.1016/j.hrthm.2015.03.011 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 WATCHMAN left atrial (LA) appendage closure device before and after LA ablation. Transesophageal echocardiography findings of the LA before (A and C) and after LA ablation (B and D) in 2 representative patients after LA appendage closure with the WATCHMAN device. In patient 6, no dislocation, leakage, or thrombus formation was detected before (A) or after (B) LA ablation. In patient 8 (C), no dislocation, leakage, or thrombus formation was found before LA ablation; however, at follow-up, 113 days after LA ablation, a sessile device-related thrombus (10 × 12 mm, attached to the superior-anterior part of the device; red arrow in D) was detected while the patient was undergoing therapy with dabigatran. AV = aortic valve; LA = left atrium; WATCHMAN = WATCHMAN LAA closure device. Heart Rhythm 2015 12, 1524-1531DOI: (10.1016/j.hrthm.2015.03.011) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 AMPLATZER left atrial (LA) appendage closure device before and after LA ablation. Transesophageal echocardiography findings of the LA before (A) and after (B) LA ablation in patient 1 after LA appendage closure with the AMPLATZER device. No dislocation, leakage, or thrombus formation was detected before or after LA ablation. APC = AMPLATZER Cardiac Plug LAA closure device; MV = mitral valve. Heart Rhythm 2015 12, 1524-1531DOI: (10.1016/j.hrthm.2015.03.011) Copyright © 2015 Heart Rhythm Society Terms and Conditions