Percutaneous closure of the left atrial appendage with Watchman device: An option for patients with atrial fibrilation and high risk of bleeding with anticoagulation

Authors

  • Juan Sénior University of Antioquia. San Vicente Foundation University Hospital
  • Henry Borja University of Antioquia
  • Andrés Fernández San Vicente Foundation University Hospital
  • Arturo Rodríguez San Vicente Foundation University Hospital
  • Víctor Aldana University of Antioquia

DOI:

https://doi.org/10.17533/udea.iatreia.v28n3a11

Keywords:

atrial appendage, atrial fibrillation, blood coagulation

Abstract

Atrial fibrillation is the most common arrhythmia found in clinical practice, with a population prevalence of 1% to 2%. Anticoagulation remains a fundamental part of treatment for the prevention of cerebrovascular events (stroke), but it is contraindicated in approximately 20% of patients. We report a case of non-valvular atrial fibrillation with high-risk score for stroke, a history of intracerebral bleeding, and very high risk of bleeding with long-term anticoagulation. Percutaneous closure of the left atrial appendage with the Watchman device was performed successfully without complications.

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Author Biographies

Juan Sénior, University of Antioquia. San Vicente Foundation University Hospital

Coordinator of the postgraduate course in Interventional Cardiology, Universidad de Antioquia, Medellín, Colombia. Interventional Cardiologist, Hospital Universitario San Vicente Fundación, Medellín, Colombia.

Henry Borja, University of Antioquia

Interventional Cardiology Resident, Universidad de Antioquia, Medellín, Colombia.

Andrés Fernández, San Vicente Foundation University Hospital

Interventional Cardiologist, Hospital Universitario San Vicente Fundación, Medellín, Colombia.

Arturo Rodríguez, San Vicente Foundation University Hospital

Interventional Cardiologist, Hospital Universitario San Vicente Fundación, Medellín, Colombia.

Víctor Aldana, University of Antioquia

Interventional Cardiology Resident, Universidad de Antioquia, Medellín, Colombia.

References

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Published

2015-07-03

How to Cite

1.
Sénior J, Borja H, Fernández A, Rodríguez A, Aldana V. Percutaneous closure of the left atrial appendage with Watchman device: An option for patients with atrial fibrilation and high risk of bleeding with anticoagulation. Iatreia [Internet]. 2015 Jul. 3 [cited 2025 Dec. 5];28(3):325-31. Available from: https://revistas.udea.edu.co/index.php/iatreia/article/view/22705

Issue

Section

Caso clínico de cardiología

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