Complex transcatheter left atrial appendage closure using a tailored trans-jugular approach simulated by 3D printing: a case report Article Swipe
Vlad Ciobotaru
,
Victor-Xavier Tadros
,
Claire Martin
,
Sébastien Hascoët
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/ehjcr/ytac304
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/ehjcr/ytac304
Background Transcatheter left atrial appendage (LAA) closure (LAAc) is less feasible in patients with unusual LAA anatomy. Case summary A 65-year-old woman with persistent atrial fibrillation was referred for LAAc. Transesophageal echocardiography (TEE) revealed spontaneous contrast in the LAA without formation of a thrombus; the LAA shape was tortuous and difficult to assess. A first LAAc procedure was unsuccessful given the unsuitable sheath position. Therefore, a soft three-dimensional (3D) model printing was performed by laser sintering and revealed excessive sheath kinking with an inferior approach, but successful deployment would be feasible using a superior approach. Successful trans-jugular implantation of a Watchman FLX 31 device in stable position without residual leakage was achieved during the subsequent procedure. At 3-month follow-up, and after cessation of oral anticoagulation, the patient’s symptoms improved. Imaging demonstrated complete LAA occlusion and correct placement of the device along the LAA superior axis. Discussion This is the first-reported clinical case of a complex transcatheter LAAc through a trans-jugular approach. Simulating the patient’s anatomy with a laser sintering 3D-printed model showed why the transfemoral approach failed, validated the trans-jugular procedure, enabled selection of the simple curve access sheath that had the most direct trajectory towards the LAA, confirmed that transseptal puncture was possible, allowed determination of the angle of puncture, enabled selection of the most appropriate LAA device and had a very low cost compared with planning software or other printing methods.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ehjcr/ytac304
- https://academic.oup.com/ehjcr/article-pdf/6/8/ytac304/45328732/ytac304.pdf
- OA Status
- gold
- Cited By
- 6
- References
- 14
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4288052221
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4288052221Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/ehjcr/ytac304Digital Object Identifier
- Title
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Complex transcatheter left atrial appendage closure using a tailored trans-jugular approach simulated by 3D printing: a case reportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-07-27Full publication date if available
- Authors
-
Vlad Ciobotaru, Victor-Xavier Tadros, Claire Martin, Sébastien HascoëtList of authors in order
- Landing page
-
https://doi.org/10.1093/ehjcr/ytac304Publisher landing page
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https://academic.oup.com/ehjcr/article-pdf/6/8/ytac304/45328732/ytac304.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://academic.oup.com/ehjcr/article-pdf/6/8/ytac304/45328732/ytac304.pdfDirect OA link when available
- Concepts
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Medicine, Atrial fibrillation, Occlusion, Thrombus, Radiology, Biomedical engineering, Surgery, CardiologyTop concepts (fields/topics) attached by OpenAlex
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6Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 2Per-year citation counts (last 5 years)
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14Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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