Final_Week 4 Flashcards
LA Appendage Closure Devices goal
prevent stroke
LA Appendage Closure Devices - Watchman Device; Amulet Device
–Require GA
–45+ days of anticoagulation post implantation, then Plavix and ASA x6 mos, then ASA
–May not be best option for elderly
–Contraindications: Malignant neoplasms, AVM, known or suspected GI ulcers
–Complications: Major bleeding, pericardial effusion, device embolization, cardiac perforation, ischemic stroke
LA Appendage Closure Devices - LARIAT device
–Indicated if cannot tolerate anticoagulation or if anatomy of LAA cannot support endocardial occlusion
–MAC anesthesia
**No post procedure anticoagulation
–Complications: Cardiac perforation r/t epicardial access