Key result
Left atrial appendage occlusion using intracardiac echocardiography and local anesthesia allowed accurate visualization of device deployment in 1 high-anesthetic risk patient.
Case Report (n=1)
LAA occlusion can be performed under local anesthesia using ICE from the right ventricular outflow tract and pulmonary artery, potentially benefiting high-anesthetic risk patients.
May offer alternative for high-anesthetic-risk LAAO patients; hypothesis-generating and requires prospective validation.
Left atrial appendage (LAA) occlusion is increasingly accepted to reduce the risk of stroke in patients with atrial arrhythmia who are unsuitable for routine anticoagulation. It is generally performed under general anesthesia, guided by transoesophageal echocardiography with accurate imaging being essential for correct deployment of the device. We present a case where LAA occlusion was done under local anesthesia in a high-anesthetic risk patient, using novel placement of an intracardiac echo probe via a Mullins sheath in the right ventricular outflow tract and pulmonary artery. This allowed accurate visualization of device deployment in the LAA. This technique may increase the spectrum of patients who may benefit from the procedure and decrease procedure time, fluoroscopy, and procedure-related morbidity.
No takes yet. Share an insight, caveat, or question.
MacDonald et al. (2010) conducted a case report in Atrial arrhythmia (n=1). Left atrial appendage occlusion using intracardiac echocardiography and local anesthesia was evaluated on Accurate visualization of device deployment. Left atrial appendage occlusion using intracardiac echocardiography and local anesthesia allowed accurate visualization of device deployment in 1 high-anesthetic risk patient.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: