ArticleJACC. Case reports2026
Coil Closure of Peri-Device Leak After Left Atrial Appendage Occlusion: A "Soccer Ball" Seal.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Scoring Goals: Peri-Device Leak Management in Transcatheter Left Atrial Appendage Closure.JACC. Case reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeri-device leak after left atrial appendage closure has emerged as a clinically relevant finding, which has been associated with residual thromboembolic risk. Strategies to achieve complete seal after left atrial appendage closure (LAAC), including coil- and plug-based approaches, are increasingly being used in selected anatomies. CASE SUMMARY: An 82-year-old woman with paroxysmal atrial fibrillation underwent prior LAAC. Follow-up cardiac computed tomography and transesophageal echocardiography demonstrated a skirt leak caused by incomplete sealing of the inferior aspect of the device, with persistent communication between the left atrium and distal appendage lobes. Given concern for residual embolic risk, she underwent transcatheter leak closure under transesophageal echocardiography and fluoroscopic guidance using detachable coils (Ruby Coils; Penumbra). The final fluoroscopic appearance was a compact ball-like coil mass within the appendage, with complete angiographic occlusion. DISCUSSION: Multimodality imaging defined the mechanism of residual leak and guided selection of coil embolization over focal plug-based closure. In selected anatomies, coil closure alone may provide an effective solution for persistent peri-device leak. TAKE-HOME MESSAGE: Residual peri-device leak after LAAC should be characterized mechanistically, not only by size. In anatomically selected skirt leaks, coil embolization can achieve durable closure with excellent imaging and clinical follow-up.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.