• Mashup Score: 6

    AbstractBackground. Embolization of a Watchman device in patients undergoing percutaneous left atrial appendage (LAA) closure is a rare complication. Retrieval

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    • 16/24 ⁉️ Despite all efforts, embolisation of the device can still occur. 🎯 In this case report, the embolised #LAAO device was retrieved using a double snaring technique. https://t.co/2Y1cFO4js7 https://t.co/e6wEJ1XD4k

    • 1/24 This month’s #EHJCaseReports #tweetorial focuses on percutaneous left atrial appendage occlusion. Is #LAAO the exact solution for preventing stroke & embolism in #AF pts who can’t tolerate #OAC? Or, a new problem while seeking a solution? https://t.co/2Y1cFO4js7 #CardioEd https://t.co/y4DMPPO2bV

  • Mashup Score: 0

    The rationale for the quest to close the left atrial appendage (LAA) for stroke prevention is composed of three elements: the concept that atrial fibrillation (

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    • 20/24 ⁉️Another question to be answered: 🤔 Is #LAAO better than, or at least as safe and effective as antithrombotic agents? Without a doubt, ongoing studies 📌 OCCLUSION-AF 📌 STROKE-CLOSE 📌 CLOSURE-AF 📌 ASAP-TOO will provide essential insights. https://t.co/2ZwUn9mlrY https://t.co/kGSLDc3qIG

    • 17/24 #LAAO to who? 🎯 High-risk non-valvular #AF patients who ‘ve contraindications or can't tolerate long-term #OAC. 🎯 Patients w/elevated bleeding risk 🎯 Patients suffering from stroke while on #OAC 🎯 Patients unwilling to receive #OAC https://t.co/2ZwUn9mlrY https://t.co/smne72J9Do

    • 14/24 📌 Please find step by step Amulet device deployment + tug test in the ⬇️ videos. 1st video ➡️ ‘ball’ & ‘triangle’ configuration of the ‘lobe’ 2nd video ➡️ ‘disc’ deployment 3rd video ➡️ tug test https://t.co/2ZwUn9mlrY https://t.co/BmQC7HaefV

    • 13/24 📌Amulet device deployment has 4️⃣ steps: 1 > Unsheat for ‘ball’ configuration 2-3 > Advance delivery cable for ‘triangle’ configuration and ‘lobe’ unfolded 4 > Unsheat for ‘Disc’ unfolded 🎯 Lobe of the device should sit landing zone. https://t.co/2ZwUn9mlrY https://t.co/nzhG5v8wBh

    • 5/24 🎯 Pre- & peri- & post-procedural imaging w/ #TEE and #yesCT is key for: 👉 Ruling out #LAA thrombus 👉 #LAA anatomy & dimensions 👉 Equipment (device) selection 👉 Guiding procedural device implantation 👉 Device surveillance post-implantation https://t.co/2ZwUn9mlrY https://t.co/b8IT8vd3CL

    • 3/24 #LAA closure devices should be safe, efficent and easy to deploy. 📌 Currently available catheter-based devices for #LAAO have different principles. A- Plug ➡️ Watchman B- Pacifier ➡️ Amplatzer Amulet C- Ligation ➡️ Lariat https://t.co/2ZwUn9mlrY https://t.co/NZaX43x8qZ

    • 2/24 🎯 The rationale of #LAAO 🔸 In non-valvular #AF patients, 90% of thrombus is located in the #LAA 🔸 These thrombi embolise to the 🧠 & cause #stroke 🎯 Don't miss the ‘#EHRA_ESC #EAPCI expert consensus document on catheter-based #LAAO –an update’ https://t.co/2ZwUn9mlrY https://t.co/rk3M26M5Lj

  • Mashup Score: 10

    What if some low-risk patients with infrequent atrial fibrillation were not put on continuous and permanent oral anticoagulation, but let monitoring tell them when to start and stop OAC?

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    • Discovery of substantial #AF is usually an indication to start #OAC for #stroke prevention, but it's far from settled whether such AF is actually a direct cause of thromboembolic stroke. https://t.co/QXvKhm7ZPM