The AtriClip is an epicardially applied occlusion device for the left atrial appendage. Accurate sizing and placement of the device is essential to its success. We describe the use of 3-dimensional computed tomography imaging to aid in accurate sizing of the AtriClip device during thoracoscopic surgical ablation. This technique reduces the risk of improper sizing of the device and thus mitigates the risk of malpositioning and potential damage or compression to surrounding structures such as the circumflex coronary artery.
CaliskanE.SahinA.YilmazMet al. Epicardial left atrial appendage AtriClip occlusion reduces the incidence of stroke in patients with atrial fibrillation undergoing cardiac surgery. Europace2018; 20: e105–e114.doi:10.1093/europace/eux211
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EmmertMY.PuippeG.BaumüllerSet al. Safe, effective and durable epicardial left atrial appendage clip occlusion in patients with atrial fibrillation undergoing cardiac surgery: first long-term results from a prospective device trial. Eur J Cardiothorac Surg2014; 45: 126–131.doi:10.1093/ejcts/ezt204
3.
ToaleC.FitzmauriceGJ.EatonDet al. Outcomes of left atrial appendage occlusion using the AtriClip device: a systematic review. Interact Cardiovasc Thorac Surg2019; 29: 655–662.doi:10.1093/icvts/ivz156
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MokracekA.KurfirstV.BulavaAet al. Thoracoscopic occlusion of the left atrial appendage. Innovations2015; 10: 179–182.doi:10.1097/imi.0000000000000169
