Late device-related thrombus associated with occult malignancy years after left atrial appendage closure.
J Stroke Cerebrovasc Dis
; 33(5): 107618, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38402694
ABSTRACT
INTRODUCTION:
The use of Left Atrial Appendage (LAA) occluder devices has been on the rise in patients with atrial fibrillation. Studies regarding the long-term risks of occluder devices remain sparse. MATERIALS &METHODS:
In this brief report, we discuss the unusual case of an 85-year-old female with long-term complication from Left Atrial Appendage (LAA) closure Device-Related Thrombus (DRT) about two years after insertion.RESULTS:
Compared to the expected stroke rate without anticoagulation, patients with DRT on their LAAO device still had a 28 % relative reduction in ischemic stroke. This suggests that these strokes may have emanated from alternate etiologies other than the DRT.CONCLUSIONS:
Patients with active or known history of cancer appears to have a higher risk of DRT. More data is needed on this topic to augment awareness and understanding of LAAO complications and DRT management strategies.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Fibrilação Atrial
/
Trombose
/
Apêndice Atrial
/
Acidente Vascular Cerebral
Limite:
Aged80
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Female
/
Humans
Idioma:
En
Revista:
J Stroke Cerebrovasc Dis
Assunto da revista:
ANGIOLOGIA
/
CEREBRO
Ano de publicação:
2024
Tipo de documento:
Article