Left atrial appendage clip occlusion: Early clinical results

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Manuel J. Antunes, MD, PhD, DSc

Stapled excision of the left atrial appendage

The hybrid procedure for hypoplastic left heart syndrome: A procedure still looking for its place Carlos M. Mery, MD, MPH The Journal of Thoracic and.

Long-term follow-up, computed tomography, and computational fluid dynamics of the Cabrol procedure Joseph Knight, MS, Stephan Baumüller, MD, Vartan Kurtcuoglu,

The days of future past Neel K. Ranganath, MD, Aubrey C. Galloway, MD

Right internal thoracic artery or saphenous vein grafting

Murray H. Kwon, MD The Journal of Thoracic and Cardiovascular Surgery

Form ever follows function

Sixty-four–slice computed tomographic coronary angiography in pseudoaneurysm of the ascending aorta: A useful modality to supplement the diagnosis Lars.

William M. DeCampli, MD, PhD

The appendage strikes back: The last surgeon

A stitch too far: The circumflex artery in jeopardy during mitral valve repair Jeswant Dillon, MD, FRCS The Journal of Thoracic and Cardiovascular Surgery

Left atrial appendage aneurysm causes severe mitral regurgitation and heart failure: Report of a successfully treated case Mitsuhiro Kawata, MD, PhD,

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Calcified amorphous tumor of left atrium

The lord of the rings Antonio Miceli, MD, PhD

Ascending aortic pseudoaneurysm after aortic valve replacement: Watch the tip of the cardioplegia cannula! Abbas Emaminia, MD, Ahmad Ali Amirghofran,

High-resolution computed tomography with three-dimensional reconstruction for assessment of chronic pulmonary thromboembolic disease Thoralf M. Sundt,

Lung transplantation in Kartagener syndrome and situs inversus: Potential of multidetector row computed tomography and three-dimensional postprocessing

Franco Stella, MD, PhD, Francesco Petrella, MD

Michael G. Katz, MD, PhD, Anthony S

Aortic Valve Replacement Through a Minimally Invasive Approach: Preoperative Planning, Surgical Technique, and Outcome Andre Plass, MD, Hans Scheffel,

Use of the hybrid operating room for aortic valve replacement in a patient with anomalous left circumflex artery Ramanan Umakanthan, MD, Zachary E. Brewer,

Coarctation of aorta aneurysm with aberrant right subclavian artery and single carotid artery: Surgical and perfusion strategies Balasubramoniam Kavumkal.

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Fixing the supply problem

Military surgeons just want to have fun

Confusion still exists regarding postoperative delirium and its etiology after esophagectomy Robert B. Cameron, MD The Journal of Thoracic and Cardiovascular.

A simplified technique for pulmonary artery aneurysm repair in a lung transplant recipient with right ventricular outflow tract obstruction Giorgio Zanotti,

Have you seen an atrium bigger than this?

Giuseppe Rescigno, MD, Sacha L. S

Dominique Fabre, MD, Jeremie H

The Journal of Thoracic and Cardiovascular Surgery

Michael Lanuti, MD The Journal of Thoracic and Cardiovascular Surgery

Choice of second pericardial drainage tube for posterior placement

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Leora B. Balsam, MD, Abe DeAnda, MD

Left atrial pressure measurement in a rat is currently impossible due to size limitations of balloon occlusion catheter Filip Konecny, MSc, DVM, PhD

Marc Licker, MD, John Diaper, RA

Postoperative manifestation of heparin-induced thrombocytopenia with intracavitary thrombosis: Diagnostic pitfalls and conservative therapy Helmut Gulbins,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Commentary: Three-dimensional P3 tethering angle at the heart of future surgical decision making in ischemic mitral regurgitation Wobbe Bouma, MD, PhD,

Shunt right or left? Decision 2016

Physiologic left ventricular reconstruction: Shape, function, and time recaptured Gerald D. Buckberg, MD The Journal of Thoracic and Cardiovascular Surgery

First nights, the adrenal axis, and steroids

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

Commentary: It's all about the distal

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Keep it short and sweet Ian A. Makey, MD, Scott B. Johnson, MD

The patent internal thoracic artery graft: Increased degree of difficulty for left-sided pulmonary resections Robbin G. Cohen, MD, MMM The Journal of.

Spot the mesh: Six-month follow-up

The continuing challenge of congenital heart disease in China

Gorav Ailawadi, MD, Marc W. Gerdisch, MD, Richard L

Seeing is believing: A call for routine early postoperative hemodynamic transesophageal echocardiography monitoring after left ventricular assist device.

After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10% Benny Weksler, MD, MBA The Journal of Thoracic and Cardiovascular.

“The more things change…”: The challenges ahead

Commentary: Judgment day: Should you add atrial fibrillation ablation?

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Apples remain apples NO matter what

A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Preoperative PFTs: The answer is blowing in the wind

The evolution of cardiothoracic critical care

Left atrial to left ventricle bypass for mitral valve stenosis

Journal changes and initiatives

Edward Y. Chan, MD, Michael J. Reardon, MD

Presentation transcript:

Left atrial appendage clip occlusion: Early clinical results Sacha P. Salzberg, MD, Andre Plass, MD, Maximillian Y. Emmert, MD, Lotus Desbiolles, MD, Hatem Alkadhi, MD, Jurg Grünenfelder, MD, Michele Genoni, MD The Journal of Thoracic and Cardiovascular Surgery Volume 139, Issue 5, Pages 1269-1274 (May 2010) DOI: 10.1016/j.jtcvs.2009.06.033 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 LAA clip, deployment tool, and deployment. A, Reusable Miltex deployment tool as it was used in all cases. LAA clip is loaded onto the jaws of this tool. B, LAA mobilized within the clip (1), right pulmonary veins (2), and pulmonary artery (3), and operator's hand (4) gently mobilizing the heart to demonstrate the LAA and allow placement of the clip with the left hand. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1269-1274DOI: (10.1016/j.jtcvs.2009.06.033) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 CT imagery. A, Curved multiplanar CT reformation demonstrating the plane for measurements of the LAA neck diameter (arrow to black line). B, Oblique-transverse thick maximum intensity projection CT images showing the 2 distance measurements (arrow to thin white lines) from the ostium of the circumflex artery to both ends of the LAA clip. C, Volume-rendered CT image demonstrating the measurement of the orientation of the LAA clip. The angle was measured between 2 lines drawn along the posterior tips of the transverse processes and along the LAA clip (arrow). The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1269-1274DOI: (10.1016/j.jtcvs.2009.06.033) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Multiple views to the heart in 3-dimensional volume showing clip placement technique preoperatively (A–C) and postoperatively (D–F). The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1269-1274DOI: (10.1016/j.jtcvs.2009.06.033) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions