Key result
Endocardial RF ablation achieves complete closure of persistent post-surgical LAA leak after failed endovascular options.
Why the study?
Patients with persistent leaks after surgical or device-based LAAC remain at elevated risk of stroke and systemic embolization.
Does endocardial radiofrequency catheter ablation close a persistent leak in a patient after surgical left atrial appendage closure?
Case Report (n=1)
No
Does endocardial radiofrequency catheter ablation close a persistent leak in a patient after surgical left atrial appendage closure?
Endocardial radiofrequency catheter ablation represents a novel and effective therapeutic option for closing persistent leaks following surgical left atrial appendage closure when conventional endovascular approaches are unfeasible.
Answers are grounded in this paper and cite their sources.
May close refractory post-surgical LAA leaks when endovascular options fail; hypothesis-generating and requires prospective validation.
Embolic events are the most significant complications in patients with atrial fibrillation (AF). Left atrial appendage closure (LAAC) has emerged as an alternative therapeutic option for individuals who are either unable to maintain chronic oral anticoagulant (OAC) therapy or have experienced adverse events on these medications.1 However, patients who exhibit persistent leaks after surgical or device-based LAAC remain at elevated risk of stroke and systemic embolization2. Herein, we report a patient who developed a sludge thrombus in the left atrial appendage (LAA) despite being on therapeutic OAC and had previously undergone surgical LAAC.
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Kıvrak et al. (2025) conducted a case report in Persistent leak after surgical left atrial appendage closure in a patient with atrial fibrillation (n=1). Endocardial radiofrequency catheter ablation was evaluated on Closure of left atrial appendage leak. Endocardial radiofrequency catheter ablation successfully achieved complete closure of a persistent left atrial appendage leak after surgical closure when conventional endovascular methods failed.
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