Niyada Naksuk et al. JACEP 2016;2:

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Niyada Naksuk et al. JACEP 2016;2:403-412 Real-Time Imaging for Watchman Implantation (A) 1, Left anterior oblique fluoroscopic view presents a pigtail catheter used to perform cine-angiograms. 2, Access sheath is then introduced into the LAA over the wire. 3, After the position is secured, the “tug test” is performed to check for stability prior to release of the delivery cable. (B) Intracardiac echocardiogram demonstrates a well-seated 27-mm Watchman at the ostium with appropriate device compression (22 mm) (reduction of the device width by 20%). Color Doppler shows <5 mm jets, suggestive of adequate all-lobes exclusion. (B) Reprinted with permission from Siobhan et al. Imaging the LAA prior to, during, and after occlusion. J Am Coll Cardiol Img 2011;4:303–6. Niyada Naksuk et al. JACEP 2016;2:403-412 American College of Cardiology Foundation