FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377197322> ?p ?o ?g. }

• W4377197322 endingPage "S212" @default.
• W4377197322 startingPage "S212" @default.
• W4377197322 abstract "Left atrial appendage occlusion (LAAO) is an alternative to reduce stroke risk in patients who are poor oral anticoagulant candidates. The Tendyne (Abbott Structural, Santa Clara, CA) transcatheter mitral valve implantation (TMVI) system consists of two self-expanding nitinol frames and a trileaflet porcine pericardial valve anchored to epicardial pad by a tether. The prominent atrial cuff of the device anchors the MV, and reduces paravalvular leak but can partially obstruct the LAA ostium making LAAO challenging We describe a case of left atrial appendage occlusion using a Watchman FLX in a patient who underwent TMVI with a Tendyne mitral valve system N/A 78-year-old woman with atrial fibrillation and TMVI with Tendyne was referred for LAAO due to recurrent bleeding. Transesophageal echocardiogram (TEE) showed a Tendyne prosthesis with the outer frame overlying the os of the left atrial appendage with a small residual elliptical opening. Computed Tomography (CT) showed partial obstruction of the LAA ostium by struts from the bioprosthetic mitral valve and a 9 x 8 mm gap permitting access to the LAA. Implantation of a single lobe device (Watchman FLX) into the left atrial appendage behind the prosthetic valve apparatus was planned to completely occlude the LAA. After transeptal puncture, a fixed single curve access sheath was introduced in the left atrium. Due to partial obstruction of the LAA ostium by the Tendyne, LAA access was challenging. With TEE guidance, a pigtail catheter was placed along the limbus side of the LAA and a glidewire was then successfully advanced into the LAA through the gap in the ostium. The angiogram showed communication of LAA with the left atrium despite partial obstruction by the Tendyne. The single curve access sheath was then advanced over the pigtail catheter past the Tendyne into the LAA and a 27 mm Watchman FLX device was deployed. In the final position the device was seated entirely behind the Tendyne valve apparatus at the level of the ostium in a stable position with no evidence of residual blood flow. Post watchman device placement, there was no damage or movement of the valve apparatus and no exacerbation of mitral regurgitation. The atrial cuff of the transcatheter mitral valve system can encroach on the LAA ostium and make LAAO challenging. Careful preoperative planning using CT can guide device selection and help mitigate challenges." @default.
• W4377197322 created "2023-05-22" @default.
• W4377197322 creator A5009565927 @default.
• W4377197322 creator A5014321482 @default.
• W4377197322 creator A5023584164 @default.
• W4377197322 creator A5060983683 @default.
• W4377197322 creator A5067752250 @default.
• W4377197322 creator A5084457519 @default.
• W4377197322 creator A5086638180 @default.
• W4377197322 date "2023-05-01" @default.
• W4377197322 modified "2023-09-27" @default.
• W4377197322 title "PO-01-043 CHALLENGING CASE OF LEFT ATRIAL APPENDAGE OCCLUSION AFTER TRANSCATHETER MITRAL VALVE IMPLANTATION WITH TENDYNE MITRAL VALVE SYSTEM" @default.
• W4377197322 doi "https://doi.org/10.1016/j.hrthm.2023.03.622" @default.
• W4377197322 hasPublicationYear "2023" @default.
• W4377197322 type Work @default.
• W4377197322 citedByCount "0" @default.
• W4377197322 crossrefType "journal-article" @default.
• W4377197322 hasAuthorship W4377197322A5009565927 @default.
• W4377197322 hasAuthorship W4377197322A5014321482 @default.
• W4377197322 hasAuthorship W4377197322A5023584164 @default.
• W4377197322 hasAuthorship W4377197322A5060983683 @default.
• W4377197322 hasAuthorship W4377197322A5067752250 @default.
• W4377197322 hasAuthorship W4377197322A5084457519 @default.
• W4377197322 hasAuthorship W4377197322A5086638180 @default.
• W4377197322 hasBestOaLocation W43771973221 @default.
• W4377197322 hasConcept C126322002 @default.
• W4377197322 hasConcept C141071460 @default.
• W4377197322 hasConcept C164705383 @default.
• W4377197322 hasConcept C2775854548 @default.
• W4377197322 hasConcept C2776268601 @default.
• W4377197322 hasConcept C2776301958 @default.
• W4377197322 hasConcept C2777543888 @default.
• W4377197322 hasConcept C2777693794 @default.
• W4377197322 hasConcept C2778930955 @default.
• W4377197322 hasConcept C2779161974 @default.
• W4377197322 hasConcept C2780434050 @default.
• W4377197322 hasConcept C71924100 @default.
• W4377197322 hasConceptScore W4377197322C126322002 @default.
• W4377197322 hasConceptScore W4377197322C141071460 @default.
• W4377197322 hasConceptScore W4377197322C164705383 @default.
• W4377197322 hasConceptScore W4377197322C2775854548 @default.
• W4377197322 hasConceptScore W4377197322C2776268601 @default.
• W4377197322 hasConceptScore W4377197322C2776301958 @default.
• W4377197322 hasConceptScore W4377197322C2777543888 @default.
• W4377197322 hasConceptScore W4377197322C2777693794 @default.
• W4377197322 hasConceptScore W4377197322C2778930955 @default.
• W4377197322 hasConceptScore W4377197322C2779161974 @default.
• W4377197322 hasConceptScore W4377197322C2780434050 @default.
• W4377197322 hasConceptScore W4377197322C71924100 @default.
• W4377197322 hasIssue "5" @default.
• W4377197322 hasLocation W43771973221 @default.
• W4377197322 hasOpenAccess W4377197322 @default.
• W4377197322 hasPrimaryLocation W43771973221 @default.
• W4377197322 hasRelatedWork W2017559094 @default.
• W4377197322 hasRelatedWork W2063889071 @default.
• W4377197322 hasRelatedWork W2064599345 @default.
• W4377197322 hasRelatedWork W2187027572 @default.
• W4377197322 hasRelatedWork W2348539212 @default.
• W4377197322 hasRelatedWork W2396823055 @default.
• W4377197322 hasRelatedWork W2767027084 @default.
• W4377197322 hasRelatedWork W2789462655 @default.
• W4377197322 hasRelatedWork W3117033544 @default.
• W4377197322 hasRelatedWork W4226101783 @default.
• W4377197322 hasVolume "20" @default.
• W4377197322 isParatext "false" @default.
• W4377197322 isRetracted "false" @default.
• W4377197322 workType "article" @default.