ArticleJACC. Case reports2025
Simultaneous Endocardial and Epicardial Approach for Successful Closure of Left Atrial Appendage With Difficult Anatomy.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
backgroundLeft atrial appendage closure (LAAC) is increasingly used for stroke prevention; however, left atrial appendage (LAA) anatomy may pose significant challenges. CASE SUMMARY: A 67-year-old man with paroxysmal atrial fibrillation, CHA DISCUSSION: Preprocedural imaging can identify challenging LAA anatomy and assist in procedural planning. In patients with challenging LAA anatomy, obtaining epicardial access up front before endocardial closure attempts offers an additional immediate option in case of failure. This case highlights the importance and use of both endocardial and epicardial LAAC strategies for a comprehensive LAAC program. TAKE-HOME MESSAGE: We demonstrate that a methodological approach with preprocedural LAA imaging and endocardial and epicardial LAAC strategies results in successful clinical outcomes.
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