Efficiency Redefined: TAVR meets LAA Closure in One Sitting
DOI:
https://doi.org/10.5281/zenodo.14572547Keywords:
atrial appendage closure, TAVR, dual procedure, LAA closureAbstract
Atrial fibrillation (AF) is common in TAVR patients, increasing stroke and bleeding risk. We report an 88-year-old male with severe aortic stenosis, AF, CAD, and LAA thrombus who underwent a successful combined transcatheter approach. Coronary stenting was followed by a single session of LAA occlusion and TAVR, ensuring effective stroke prevention with minimized bleeding risk and valve replacement with no complications. This case demonstrates the safety and efficacy of a single-session strategy for high-risk patients with complex structural cardiovascular disease.
References
Taramasso M, Maisano F, Nietlispach F. TAVI and concomitant procedures: from PCI to LAA closure. EuroIntervention. 2015;11(W):W96-W100.
Gilhofer TS, Obeid S, Luescher TF, Binder RK. Simultaneous Transcatheter Aortic Valve Implantation and Left Atrial Appendage Occlusion versus both Interventions as Stand-Alone Procedures. Structural Heart. 2018;2(6):492-7.
Attinger-Toller A, Maisano F, Senn O, Taramasso M, Shakir S, Possner M, et al. “One-Stop Shop”. JACC: Cardiovascular Interventions. 2016;9(14):1487-95.
Kapadia SR, Krishnaswamy A, Whisenant B, Potluri S, Iyer V, Aragon J, et al. Concomitant Left Atrial Appendage Occlusion and Transcatheter Aortic Valve Replacement Among Patients With Atrial Fibrillation. Circulation. 2024;149(10):734-43.
Khattab AA, Gloekler S, Sprecher B, Shakir S, Guerios E, Stortecky S, et al. Feasibility and outcomes of combined transcatheter aortic valve replacement with other structural heart interventions in a single session: a matched cohort study. Open Heart. 2014;1(1):e000014.
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