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Implantation of the AMPLATZERTM Cardiac Plug: tips and tricks

Implantation von AMPLATZERTM Cardiac Plug: Tips und Tricks

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Abstract

The AMPLATZERTM Cardiac Plug device is designed for percutaneous occlusion of the left atrial appendage (LAA) for stroke prophylaxis in patients with atrial fibrillation (AF) who are contraindicated or intolerant to oral anticoagulation. While updated guidelines start to refer to this therapy (Camm A, Eur Heart J, doi:10.1093/eurheartj/ehs253, 2012) and operators gain experience with this relatively new technique, continuing efforts are focused on maximizing the safety of the implantation procedure. This paper is aimed at explaining and illustrating the distinct steps and specific considerations related to the implantation of the AMPLATZERTM Cardiac Plug.

Zusammenfassung

Das AMPLATZERTM Cardiac Plug Implantat wurde für Patienten mit Vorhofflimmern, bei denen die orale Antikoagulation entweder kontraindiziert sind oder sie von den Patienten nicht vertragen werden, entwickelt, um das linke Vorhofohr interventionell zu verschließen. Parallel mit der Aufnahme des Therapieverfahrens in die aktuellen guidelines und der Zunahme der Zahl von Kardiologen, die Erfahrung mit dieser relativ neuen Technik gewinnen, werden kontinuierliche Anstrengungen unternommen, mit besonderem Fokus auf die maximale prozedurale Sicherheit für den Patienten. Ziel dieser Arbeit ist die Erklärung und Illustration der verschiedenen Schritte und der spezifischen Gesichtspunkte bei der Implantation des AMPLATZERTM Cardiac Plug.

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The author declares that there is no actual or potential conflict of interest in relation to this article.

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  1. I. Med. Abteilung, Kardiologie, Internistische Intensivmedizin, Asklepios Klinik Hamburg Harburg, Eißendorfer Pferdeweg 52, 21075, Hamburg, Germany

    Jai-Wun Park MD

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Correspondence to Jai-Wun Park MD.

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Park, JW. Implantation of the AMPLATZERTM Cardiac Plug: tips and tricks. Herzschr Elektrophys 24, 33–38 (2013). https://doi.org/10.1007/s00399-013-0250-1

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  • DOI: https://doi.org/10.1007/s00399-013-0250-1

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