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Peri-device leak closure with a PFO occluder device: an innovative solution

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Fig. 1

Data availability

The data that support the findings of this study are available from the corresponding author (DJL) upon request.

References

  1. Charate R, Ahmed A, Della Rocca DG, et al. Evaluation of multimodality LAA leak closure methods following incomplete occlusion: the LAA leak study. JACC Cardiovasc Interv. 2022. https://doi.org/10.1016/j.jcin.2022.08.034.

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  2. Bawa D, Ahmed A, Darden D, Lakkireddy D. Residual leak following left atrial appendage occlusion with lariat closed with amplatzer PFO occluder device. Pacing Clin Electrophysiol. 2023. https://doi.org/10.1111/pace.14669.

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Authors and Affiliations

  1. Kansas City Heart Rhythm Institute & Research Foundation, HCA Midwest Health, 5100 W. 110th Street, Suite 200, KS, 66211, Overland Park, USA

    Rachad Ghazal, Adnan Ahmed, Danish Bawa & Dhanunjaya Lakkireddy

Authors
  1. Rachad Ghazal
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  2. Adnan Ahmed
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  3. Danish Bawa
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  4. Dhanunjaya Lakkireddy
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Corresponding author

Correspondence to Dhanunjaya Lakkireddy.

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Informed consent for the publication of this case report was obtained from thepatient prior to the submission of the manuscript.

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Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 Video 1 Pre-closure intraprocedural TEE and fluoroscopy. Pre-closure TEE (left panel) shows large residual communication between LA and LAA in front of the Coumadin ridge. Pre-closure appendogram (right panel) shows remnant connection of the LAA (MP4 4471 KB)

Supplementary file2 Video 2 Failure of ASD device to close the PDL. Intraoperative appendogram demonstrates improper unfurling of the ASD device leading to contrast extravasation into the LAA. PDL persists despite the use of ASD device occlusion (MP4 831 KB)

Supplementary file3 Video 3 Post-closure intraprocedural TEE and fluoroscopy. Post-closure TEE (left panel) shows complete closure between LA and LAA. Post-closure appendogram (right panel) shows complete closure of the PDL (MP4 3907 KB)

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Ghazal, R., Ahmed, A., Bawa, D. et al. Peri-device leak closure with a PFO occluder device: an innovative solution. J Interv Card Electrophysiol 66, 1785–1786 (2023). https://doi.org/10.1007/s10840-023-01586-w

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  • DOI: https://doi.org/10.1007/s10840-023-01586-w

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