Key result
Combined LAAO and pulmonary vein stenting proves feasible, safe, and effective in a single case.
Why the study?
Left atrial appendage occlusion prevents thromboembolism in AF patients intolerant to anticoagulation, and pulmonary vein stenosis after AF ablation can be treated with stenting, but combined treatment feasibility was unclear.
Case Report (n=1)
Combining left atrial appendage occlusion and pulmonary vein stenting into a single procedure is feasible and safe for patients with atrial fibrillation and pulmonary vein stenosis.
Combined LAAO and PV stenting in one procedure appears feasible; hypothesis-generating and should not yet change practice.
Left atrial appendage occlusion is an effective strategy to prevent thromboembolism in patients with atrial fibrillation who are unable to tolerate anticoagulation. Symptomatic pulmonary vein stenosis is a known complication of atrial fibrillation ablation that can be treated with stenting. We present a case that combines these treatments into a single procedure, demonstrating its feasibility, safety, and effectiveness.
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Miks et al. (2025) conducted a case report in Atrial fibrillation with inability to tolerate anticoagulation and symptomatic pulmonary vein stenosis (n=1). Combined left atrial appendage occlusion and pulmonary vein stenting was evaluated on Feasibility, safety, and effectiveness. A combined procedure of left atrial appendage occlusion and pulmonary vein stenting was demonstrated to be feasible, safe, and effective in a single case.
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