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February 28, 2026The International Journal of Cardiovascular Imaging0 citationsOpen Access

Dynamic peri-device leak assessment of left atrial appendage occlusion device using super-resolution CT imaging

PNPrashant NagpalJSJakub SiembidaMWMartin G. Wagner

Key Result

Multiphase super-resolution CT imaging demonstrated that peri-device leaks following Watchman implantation exhibit dynamic variation across the cardiac cycle, becoming conspicuous during systole.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
1 62-year-old male with paroxysmal atrial fibrillation and prior left atrial appendage occlusion device implantation referred for three-month follow-up.
I
Intervention
Cardiac CT utilizing super-resolution iterative reconstruction with 1024 matrix
O
Outcome
Detection and dynamic assessment of peri-device leaksurrogate

Super-resolution multiphase cardiac CT reveals that peri-device leaks can demonstrate dynamic variation with the cardiac cycle, highlighting the need for multiphase acquisition for accurate detection.

Limitations

  • Findings from a single case should be interpreted with caution.
  • Dynamic behavior of PDLs may vary depending on the type and burden of atrial fibrillation, baseline LAA contractile function, cardiac rhythm at the time of imaging, and heart rate.
  • Further investigation in larger patient cohorts is needed to determine whether these observations are generalizable.
  • Findings from this single case should be interpreted with caution
  • Dynamic behavior of PDLs may vary depending on type and burden of atrial fibrillation, baseline LAA contractile function, cardiac rhythm at the time of imaging, and heart rate
  • Further investigation in larger patient cohorts is needed
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Cite This Study

Nagpal et al. (2026) conducted a case report in Paroxysmal atrial fibrillation with prior Watchman device implantation (n=1). Super-resolution CT imaging (Precise IQ Engine, PIQE) with 1024 matrix was evaluated on Detection of peri-device leak (PDL). Multiphase super-resolution CT imaging demonstrated that peri-device leaks following Watchman implantation exhibit dynamic variation across the cardiac cycle, becoming conspicuous during systole.

synapsesocial.com/papers/6a025a3d9cddff7633412a7fhttps://doi.org/10.1007/s10554-026-03653-5
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