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Canadian Journal of Cardiology

Percutaneous Closure of a Very Large Left Atrial Appendage Using the Amplatzer Amulet

Published:April 01, 2013DOI:https://doi.org/10.1016/j.cjca.2012.12.022

      Abstract

      Although percutaneous left atrial appendage (LAA) closure is becoming a common procedure worldwide, there are still some anatomic limitations. The size of the LAA is one of the current limitations as the most popular devices do not allow the closure of very large LAAs. The new Amplatzer Cardiac Plug 2, also called “Amulet,” has been redesigned not only to improve delivery and safety but also to allow the closure of larger LAAs. The present report describes the successful closure of a very large LAA using the Amulet.

      Résumé

      Bien que la fermeture percutanée de l'appendice auriculaire gauche (AAG) soit devenue une intervention fréquente à l'échelle mondiale, quelques limites anatomiques existent encore. La taille de l'AAG est l'une des limites actuelles alors que la plupart des dispositifs les plus courants ne permettent pas la fermeture de très grands AAG. La nouvelle prothèse Amplatzer Cardiac Plug 2, également appelée « Amulet », a été repensée non seulement pour améliorer les résultats et l'innocuité, mais aussi pour permettre la fermeture de plus grands AAG. Le présent rapport décrit la réussite d'une fermeture d'un très grand AAG en utilisant l'Amulet.
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