Is cardiac CT as effective as TEE for the detection of device-related thrombosis in patients following left atrial appendage occlusion?
Patients following left atrial appendage occlusion (LAAO)
Cardiac computed tomography (CT)
Transesophageal echocardiography (TEE)
Detection of device-related thrombosis (DRT)surrogate
Cardiac CT is a viable alternative to TEE for detecting device-related thrombosis after LAAO and may offer superior detection of low-grade hypo-attenuated thickening.
Cardiac CT seems equally good as TEE for detection of DRT. In addition, cardiac CT demonstrates cases with low-grade HAT, not visualized by TEE. The clinical significance hereof requires further investigation.
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Kasper Korsholm
Jesper Møller Jensen
Bjarne Linde Nørgaard
Circulation Cardiovascular Interventions
Aarhus University Hospital
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Korsholm et al. (Sun,) studied this question.
www.synapsesocial.com/papers/69cd9897ee48e5fa6293c3af — DOI: https://doi.org/10.1161/circinterventions.119.008112