TY  - CHAP
M1  - Book, Section
TI  - Left Atrial Appendage Closure
A1  - Fahmy, Peter
A1  - Saw, Jacqueline
A2  - Baliga, R. R.
A2  - Lilly, Scott M.
A2  - Abraham, William T.
PY  - 2018
T2  - Color Atlas and Synopsis of Interventional Cardiology
AB  - An  84  year-old  woman  with  hypertension,  chronic  obstructive  pulmonary  disease,  and  chronic  renal  insufficiency  (estimated  glomerular  filtration,  rate  38  mL/min/1.73  m2)  also  has  paroxysmal  atrial  fibrillation  (AF)  with  a  CHADS2  score  of  4  and  CHA2DS2-VASc  score  of  6.  She  suffered  a  stroke  a  year  ago  and  was  treated  with  tissue  plasminogen  activator.  This  was  complicated  by  hemorrhagic  transformation,  resulting  in  expressive  dysphagia.  Given  her  history  of  intracranial  hemorrhage,  she  was  deemed  to  be  a  poor  candidate  for  long-term  oral  anticoagulation  (OAC)  and  was  thus  referred  for  endovascular  left  atrial  appendage  (LAA)  closure.  Under  general  anesthesia  and  transesophageal  echocardiography  (TEE)  guidance,  a  28-mm  Amplatzer  Cardiac  Plug  (ACP;  St.  Jude  Medical,  St.  Paul,  MN)  was  successfully  deployed.  The  patient  was  discharged  the  following  day  with  no  complication  and  was  commenced  on  dual  antiplatelet  therapy  (aspirin  81  mg/d  and  clopidogrel  75  mg/d)  for  3  months,  followed  by  aspirin  indefinitely.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1160207592
ER  -