Spontaneous Left Atrial Thrombus Formation on the Catheter Delivery System During WATCHMAN Implantation

Hiren Patel, MD; Luis R. Castellanos, MD, MPH; Eugene Golts, MD; Ryan Reeves, MD; Ehtisham Mahmud, MD; Jonathan C. Hsu, MD, MAS

JACC: Case Reports (Mar 2020)

Spontaneous Left Atrial Thrombus Formation on the Catheter Delivery System During WATCHMAN Implantation

Hiren Patel, MD,
Luis R. Castellanos, MD, MPH,
Eugene Golts, MD,
Ryan Reeves, MD,
Ehtisham Mahmud, MD,
Jonathan C. Hsu, MD, MAS

Affiliations

Hiren Patel, MD: Division of Cardiovascular Medicine, Advanced Cardiac Imaging Fellowship Program, University of California-San Diego, La Jolla, California
Luis R. Castellanos, MD, MPH: Division of Cardiovascular Medicine, University of California-San Diego, La Jolla, California
Eugene Golts, MD: Division of Cardiothoracic Surgery, University of California-San Diego, La Jolla, California
Ryan Reeves, MD: Division of Cardiovascular Medicine, University of California-San Diego, La Jolla, California
Ehtisham Mahmud, MD: Division of Cardiovascular Medicine, University of California-San Diego, La Jolla, California
Jonathan C. Hsu, MD, MAS: Division of Cardiovascular Medicine, University of California-San Diego, La Jolla, California; Address for correspondence: Dr. Jonathan C. Hsu, Cardiac Electrophysiology Section, Division of Cardiovascular Medicine, Department of Medicine, University of California-San Diego, 9452 Medical Center Drive, 3rd Floor, Room 3E-417, La Jolla, California 92037.

Journal volume & issue: Vol. 2, no. 3
pp. 444 – 448

Abstract

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We present a rare complication of spontaneous thrombus formation on the WATCHMAN delivery system, on both the right- and left-sided systemic circulation. We also describe the multidisciplinary team approach and the use of percutaneous vacuum-assisted aspiration system (AngioVac, AngioDynamics, Latham, New York) for successful thrombus removal. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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