Key result
Transesophageal echocardiography identified and resolved a malpositioned left atrial appendage occluding device that appeared properly positioned on fluoroscopy.
Why the study?
Does transesophageal echocardiography (TEE) improve the positioning of left atrial appendage occluding devices compared to fluoroscopy alone in patients with complex anatomy?
Population
A patient with atrial fibrillation and complex, multilobed left atrial appendage anatomy undergoing LAA…
Comparison
Transesophageal echocardiography guidance during… vs Fluoroscopy alone
Design
Case_report
Authors
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TEE may detect LAA device malposition missed by fluoroscopy; leaves open need for trials in complex anatomy.
Case Report (n=1)
Does transesophageal echocardiography (TEE) improve the positioning of left atrial appendage occluding devices compared to fluoroscopy alone in patients with complex anatomy?
TEE is crucial for guiding LAA occlusion device implantation, particularly in patients with complex LAA anatomy, as fluoroscopy alone may miss significant malpositioning.
Jorgensen et al. (2007) conducted a case report in Atrial fibrillation (n=1). Transesophageal echocardiography (TEE) was evaluated on Proper positioning of LAA occluding device. Transesophageal echocardiography identified and resolved a malpositioned left atrial appendage occluding device that appeared properly positioned on fluoroscopy.
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