CBS 2019
CBSMD教育中心
中 文

Percutaneous LAA Occlusion

Abstract

Recommended Article

Rivaroxaban Is Associated With Higher Rates of Gastrointestinal Bleeding Than Other Direct Oral Anticoagulants: A Nationwide Propensity Score–Weighted Study Management and outcomes of patients with left atrial appendage thrombus prior to percutaneous closure Single direct oral anticoagulant therapy in stable patients with atrial fibrillation beyond 1 year after coronary stent implantation Clinical Impact of Residual Leaks Following Left Atrial Appendage Occlusion: Insights From the NCDR LAAO Registry Half-Dose Direct Oral Anticoagulation Versus Standard Antithrombotic Therapy After Left Atrial Appendage Occlusion Left Atrial Appendage Closure versus Non-Warfarin Oral Anticoagulation in Atrial Fibrillation: 4-Year Outcomes of PRAGUE-17 Patent Foramen Ovale Attributable Cryptogenic Embolism With Thrombophilia Has Higher Risk for Recurrence and Responds to Closure Procedural and Short-Term Results With the New Watchman FLX Left Atrial Appendage Occlusion Device
|<< 1 2 3 4 5 6 >>|

Clinical Case Study

JOURNAL：CBSMD Article Link

Clinical Case : Significant LM Diameter Mismatch Treated with IVUS-guidance

Bill Gogas, Fei Ye (syndicatedfeeds)

Pre-reading

Procedure

LTRA 6F JL4 GC w/ Seldinger technique.


Buddy wire technique to cross angulated ostium of LAD w/ Runthrough NS.


Following distal placement of BMW wire, Runtrhough NS was retrieved.


Sequential balloon dilatations w/ 2,5 NC Sprinter Legend from distal to proximal with increasing atmospheres from 10 to 18 was performed. IVUS indicated distal LAD w/ RVD of at least 2,5 mm and proximal LAD media to media diameter of 3,5 mm suggested by IVUS (BS, US) which equals (3,5 mm - 0,25 mm) to vessel diameter of 3,25 mm.


Distal LM PB: 45-50% while proximal LM: >55%.


Distal LAD was treated w/ a 2,5 x 35 DES and mid- to prox-LAD up to distal LM with 3.0 x 28 mm DES*.

*DES of 3.0 or 3.5 mm can be post-dilated up to 4.25 mm



Proximal LAD was post-dilated with 3.0 NC Sprinter balloon to reach expansion of 3,5 mm and LM was post-dilated with 4.0 NC balloon to reach diameter of 4.5 mm.


IVUS confirmed MSAs: LM > 11mm2 & LAD > 7 mm2.


Good angiographic result confirmed by IVUS optimal geometric indices post-stent deployments.



Case Presenter Bill Gogas, Interventional Cardiologist, Visiting Professor of Medicine (Cardiology) at Nanjing First Hospital, China

Case Performed in The Spencer B. King III Catheterization Laboratory

Mentors Spencer B. King III, Shao-liang Chen


>CBS CBS 2019

> CBS 2019 REGISTRATION

> CBS 2019 PROGRAM

> CBS 2019 CALL FOR SCIENCE

> CBS 2019 SPOTLIGHTS

 CBSMD

> CBSMD WEBSITE REGISTRATION

> EDUCATION CENTER

> RECOMMANDED PAPER

> TOP 10 RESEARCH PAPER

> PRE-READING

CBS 2019 CBS 2019 FACULTY Education Resource CBSMD Scientific Library
Copyright ⓒ CBS MD Nanjing China. All rights reserved. 京ICP备16025898号-11
联系我们| Top