title: Case report of the left atrial appendage perforation during endovascular occlusion
metadata.name: dc.contributor.author
metadata.value: Lazakovich, Dmitry N.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Guryev, Valentin V.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Khilchuk, Anton A.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Osadchiy, Andrey M.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Vlasenko, Sergey V.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Scherbak, Sergey G.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2022-09-20T17:32:01Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2022-09-20T17:32:01Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2022-03
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Lazakovich D. N., Guryev V. V., Khilchuk A. A., Osadchy A. M., Vlasenko S. V., Scherbak S. G. Case report of the left atrial appendage perforation during endovascular occlusion. Vestnik of Saint Petersburg University. Medicine, 2022, vol. 17, issue 1, pp. 27–35.
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: https://doi.org/10.21638/spbu11.2022.103
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/37836
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: In patients with ischemic stroke more than 17 % have atrial fibrillation. Oral anticoagulant
  therapy is the main strategy for embolism prevention in patients with atrial fibrillation. In the
  presence of contraindications, an alternative to anticoagulant therapy is isolation of the left
  atrial appendage. The use of the left atrial appendage occluder is comparable in effectiveness
  to the prevention of ischemic stroke using anticoagulant therapy. However, possible complications
  arising from device implantation remain a limitation to the spread of this method.
  The article presents a clinical observation of a 55-year-old patient who was admitted to the
  hospital for a planned intervention — endovascular implantation of the Watchman device
  (Boston Scientific, USA). The development of atrial fibrillation was induced by acute myocardial
  infarction in 2016. In 2019, the patient underwent ischemic stroke in the territory of the
  right middle cerebral artery. The indication for implantation was recurrent gastroduodenal
  bleeding while taking oral anticoagulants. During the implantation stage, the delivery system
  was dislocated into the pericardial cavity. In connection with the frolicking complication, a
  decision was made to drain the pericardium with repositioning and subsequent implantation
  of the Watchman to close the left atrial appendage defect. Despite the frolic complication, left
  atrial appendage isolation was achieved. This prevented the development of massive hemopericardium
  and cardiac tamponade. The patient fully returned to normal life and self-care,
  the modified Rankin score was 190 days after the surgery. During the 10-month follow-up, the patient did not experience cardiovascular events and major bleeding, which indirectly indicates
  the effectiveness of left atrial appendage occlusion, despite the developed complication.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: ru
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Medicine;Volume 17; Issue 1
metadata.lang: -
metadata.name: dc.subject
metadata.value: atrial fibrillation
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: left atrial appendage
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: Watchman
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: Case report of the left atrial appendage perforation during endovascular occlusion
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 12998-Текст статьи-46485-1-10-20220805.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/37836/1/12998-%d0%a2%d0%b5%d0%ba%d1%81%d1%82%20%d1%81%d1%82%d0%b0%d1%82%d1%8c%d0%b8-46485-1-10-20220805.pdf
resources.format: Adobe PDF
resources.size: 1,26 MB