Transesophageal echocardiographic follow-up of patients implanted with left atrial appendage occluder Amplatzer Amulet

    Authors

    Keywords

    atrial appendage, occluder device Amplatzer Amulet, transesophageal echocardiography, atrial fibrillation, stroke

    DOI

    https://doi.org/10.15836/ccar2017.132

    Full Text

    The AmplatzerTM AmuletTM (St. Jude Medical) is a second generation AmplatzerTM Cardiac Plug device for left atrial appendage closure for stroke prevention in patients with atrial fibrillation. Second generation device features improved device stability, theoretically may reduce thrombus formation on atrial side and accommodates larger left atrial appendages. Transesophageal echocardiography in follow-up of patients implanted with left atrial appendage occluder AmplatzerTM AmuletTM is usually performed at 6 weeks’ post implantation. Imaging at that time point is performed to verify absence of left atrial or device-related thrombus, to assess the device position and to evaluate completeness of sealing (residual flow). Short-term follow-up are available in literature showing high success rate and excellent sealing (1-3) and in that context we present our uneventful 6 month follow up experience.

    Literature

    1. Lam SC, Bertog S, Gafoor S, Vaskelyte L, Boehm P, Ho RW, et al. Left atrial appendage closure using the Amulet device: an initial experience with the second generation amplatzer cardiac plug. Catheter Cardiovasc Interv. 2015 Feb 1;85(2):297–303. https://doi.org/10.1002/ccd.25644
    2. Cruz-González I, Arzamendi D, Rama-Merchan JC, Piña-González P, Sánchez PL, Serra A. Left Atrial Appendage Occlusion With the New Amulet™ Device: Feasibility, Safety and Short-term Efficacy. Rev Esp Cardiol (Engl Ed). 2015 Aug;68(8):724–6. https://doi.org/10.1016/j.rec.2015.03.011
    3. Kleinecke C, Park JW, Gödde M, Zintl K, Schnupp S, Brachmann J. Twelve-month follow-up of left atrial appendage occlusion with Amplatzer Amulet. Cardiol J. 2017 Feb 15;•••: [Epub ahead of print]. https://doi.org/10.5603/CJ.a2017.0017
    Cardiologia Croatica
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    Transesophageal echocardiographic follow-up of patients implanted with left atrial appendage occluder Amplatzer Amulet

    Extended Abstract
    Issue4
    Published
    Pages132
    PDF via DOIhttps://doi.org/10.15836/ccar2017.132
    atrial appendage
    occluder device Amplatzer Amulet
    transesophageal echocardiography
    atrial fibrillation
    stroke

    Authors

    Branimir Bukša*ORCIDZadar General Hospital, Zadar, Croatia
    Ante AnićORCIDZadar General Hospital, Zadar, Croatia
    Zorislav ŠušakORCIDZadar General Hospital, Zadar, Croatia

    *Correspondence email: brarbuk@gmail.com

    Full Text

    The AmplatzerTM AmuletTM (St. Jude Medical) is a second generation AmplatzerTM Cardiac Plug device for left atrial appendage closure for stroke prevention in patients with atrial fibrillation. Second generation device features improved device stability, theoretically may reduce thrombus formation on atrial side and accommodates larger left atrial appendages. Transesophageal echocardiography in follow-up of patients implanted with left atrial appendage occluder AmplatzerTM AmuletTM is usually performed at 6 weeks’ post implantation. Imaging at that time point is performed to verify absence of left atrial or device-related thrombus, to assess the device position and to evaluate completeness of sealing (residual flow). Short-term follow-up are available in literature showing high success rate and excellent sealing (1–3) and in that context we present our uneventful 6 month follow up experience.

    Literature

    1. 1.
      Lam SC, Bertog S, Gafoor S, Vaskelyte L, Boehm P, Ho RW, et al. Left atrial appendage closure using the Amulet device: an initial experience with the second generation amplatzer cardiac plug. Catheter Cardiovasc Interv. 2015 Feb 1;85(2):297–303.DOI
    2. 2.
      Cruz-González I, Arzamendi D, Rama-Merchan JC, Piña-González P, Sánchez PL, Serra A. Left Atrial Appendage Occlusion With the New Amulet™ Device: Feasibility, Safety and Short-term Efficacy. Rev Esp Cardiol (Engl Ed). 2015 Aug;68(8):724–6.DOI
    3. 3.
      Kleinecke C, Park JW, Gödde M, Zintl K, Schnupp S, Brachmann J. Twelve-month follow-up of left atrial appendage occlusion with Amplatzer Amulet. Cardiol J. 2017 Feb 15;•••: [Epub ahead of print].DOI