Abstract
An 80-year-old man with non-rheumatic atrial fibrillation underwent transcatheter occlusion of left atrial appendage (LAA) with the Amplatzer™ Cardiac Plug (ACP) device due to warfarin contraindications. A 28mm ACP device was chosen based on LAA morphology, transesophageal echocardiography (TEE) measurements, and operator experience. After device deployment, sufficient anchoring was confirmed by pulling and releasing the delivery catheter under fluoroscopic and TEE surveillance. The final result was excellent without significant residual leak or pericardial effusion.
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