Zero-Contrast Left Atrial Appendage Occlusion Using a Hybrid Echocardiography-Fluoroscopy Technique Without Iodinated Contrast

David I Blusztein; Shawnbir Gogia; Rebecca T Hahn; Robert J Sommer; Vivian Ng; Jessica Forman; Mark Lebehn; Lauren Ranard; Torsten P Vahl

doi:10.1016/j.amjcard.2023.04.027

Zero-Contrast Left Atrial Appendage Occlusion Using a Hybrid Echocardiography-Fluoroscopy Technique Without Iodinated Contrast

Am J Cardiol. 2023 Jul 1:198:53-55. doi: 10.1016/j.amjcard.2023.04.027. Epub 2023 May 16.

Authors

David I Blusztein¹, Shawnbir Gogia², Rebecca T Hahn², Robert J Sommer², Vivian Ng², Jessica Forman², Mark Lebehn², Lauren Ranard², Torsten P Vahl²

Affiliations

¹ Division of Cardiology, Columbia University Irving Medical Center, New York, New York. Electronic address: davidblusztein@gmail.com.
² Division of Cardiology, Columbia University Irving Medical Center, New York, New York.

PMID: 37201232
DOI: 10.1016/j.amjcard.2023.04.027

Abstract

Contrast exposure during left atrial appendage occlusion may be harmful in those with chronic kidney disease or allergy. This single-center registry (n = 31) demonstrates the feasibility and safety of zero-contrast percutaneous left atrial appendage occlusion using echocardiography, fluoroscopy, and fusion imaging, with 100% procedural success and no device complications at 45 days.

MeSH terms

Atrial Appendage* / diagnostic imaging
Atrial Appendage* / surgery
Atrial Fibrillation* / complications
Atrial Fibrillation* / surgery
Cardiac Catheterization / methods
Contrast Media
Echocardiography
Echocardiography, Transesophageal
Fluoroscopy
Humans
Treatment Outcome

Substances

Contrast Media