{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T04:12:26Z","timestamp":1741839146838,"version":"3.38.0"},"reference-count":3,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T00:00:00Z","timestamp":1698019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Peri\u2010device leak after\u00a0left atrial appendage closure\u00a0(LAAC) is often treated with endovascular coils, plugs, or second occluders. This is the first study reporting the Amulet device used for peri\u2010device leak. An 80\u2010year\u2010old male with paroxysmal atrial fibrillation and recurrent falls with head trauma who underwent LAAC\u00a0with a 24\u2009mm Watchman 2.5 device 3 years ago at another institution was referred to our clinic for management of the peri\u2010device leak. Transesophageal echocardiogram\u00a0showed persistent residual peri\u2010device leak with 5\u2009mm width along the Coumadin ridge aspect of the device. Computed tomography (CT) also showed the peri\u2010device leak with width of 6\u2009mm and complete opacification of left atrial appendage (LAA). Importantly, CT demonstrated that the Watchman 2.5 device was deployed at distal\u00a0LAA, leaving the proximal part of LAA with length of 10\u2009mm from ostium. Under general anesthesia, a 22\u2009mm Amulet device was deployed successfully with complete sealing of LAA. Procedure planning is the key to minimize the risk of peri\u2010device leak or device\u2010related thrombosis. Careful assessment of LAA anatomy using multimodality images for peri\u2010device leak after LAAC helped optimal treatment strategy including second LAAC with different type of devices.<\/jats:p>","DOI":"10.1002\/ccd.30864","type":"journal-article","created":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T10:25:10Z","timestamp":1698056710000},"page":"226-229","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Amulet device implantation following incomplete left atrial appendage closure with Watchman legacy device"],"prefix":"10.1002","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0465-7061","authenticated-orcid":false,"given":"Sung\u2010Han","family":"Yoon","sequence":"first","affiliation":[{"name":"University Hospitals Cleveland Medical Center Harrington Heart and Vascular Institute Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akram Y.","family":"Elgendy","sequence":"additional","affiliation":[{"name":"University Hospitals Cleveland Medical Center Harrington Heart and Vascular Institute Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8122-6647","authenticated-orcid":false,"given":"Luis Augusto Palma","family":"Dallan","sequence":"additional","affiliation":[{"name":"University Hospitals Cleveland Medical Center Harrington Heart and Vascular Institute Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8364-1732","authenticated-orcid":false,"given":"Steven J.","family":"Filby","sequence":"additional","affiliation":[{"name":"University Hospitals Cleveland Medical Center Harrington Heart and Vascular Institute Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.04.098"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14779072.2022.2043745"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30843"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30864","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T08:00:41Z","timestamp":1741766441000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.30864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,23]]},"references-count":3,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/ccd.30864"],"URL":"https:\/\/doi.org\/10.1002\/ccd.30864","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2023,10,23]]},"assertion":[{"value":"2023-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}