Remote Tamponade After Percutaneous Left Atrial Appendage Closure

Remote tamponade after LAAC is a rare but potentially fatal complication. Routine use of cardiac computed tomography in addition to transesophageal echocardiography for preprocedural planning, especially for nitinol plug devices, can identify patients at risk of delayed tamponade and can guide device selection, modified implantation technique, or alternative management strategies.

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Publication Details

Journal
JACC Case Reports
Published
2025-04-01
DOI
https://doi.org/10.1016/j.jaccas.2025.103388
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
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Remote Tamponade After Percutaneous Left Atrial Appendage Closure

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JACC Case Reports
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Remote Tamponade After Percutaneous Left Atrial Appendage Closure

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article en

Abstract

Remote tamponade after LAAC is a rare but potentially fatal complication. Routine use of cardiac computed tomography in addition to transesophageal echocardiography for preprocedural planning, especially for nitinol plug devices, can identify patients at risk of delayed tamponade and can guide device selection, modified implantation technique, or alternative management strategies.

JACC Case ReportsVol. 30(7)
St. Michael's Hospital (CA), University of Toronto (CA)
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Openalex Percentile: Top 88%
Atrial Fibrillation Management and Outcomes
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