Expert Consensus on Transcatheter Left Atrial Appendage Closure-Procedural Complications Related to LAAC: How to Avoid and Manage Them

Procedural Complications Related to LAAC: How to Avoid and Manage Them

Video Transcription

Video Summary

In this video, a doctor discusses two cases of patients with complicated appendages. The doctor initially attempted to close the appendage using a Watchman 2.5 device, but encountered difficulties with positioning. The doctor then used a Flex device on another patient, which appeared to be successful. However, complications such as embolization and perforation can occur in difficult anatomies. The doctor emphasizes the importance of walking away from challenging cases and being prepared with retrieval tools such as the Raptor catheter. The most dangerous complication is embolization, with perforation being a close second. Other complications include contrast extravasation and stroke. Proper air and thrombus management, as well as anticoagulation, are important in preventing complications.

Asset Subtitle

Brian C. Whisenant, MD, FSCAI

Keywords

complicated appendages

Watchman 2.5 device

Flex device

embolization

perforation