Journal: JACC Case Reports

Article Title: Combined Single-Access Left Atrial Appendage Occlusion and Transcatheter Edge-to-Edge Repair for Mitral and Tricuspid Regurgitation

doi: 10.1016/j.jaccas.2025.105085

Figure Lengend Snippet: Echocardiographic Evaluation of Valvular Regurgitations (A) TTE analysis of the mitral regurgitation. (B) TEE analysis of the mitral regurgitation. (C) TTE analysis of the tricuspid regurgitation. TEE = transesophageal echocardiography; TTE = transthoracic echocardiography.

Article Snippet: Left atrial appendage occlusion Imaging • Transesophageal echocardiography system (Philips Healthcare) Access • Ultrasound machine (Philips Healthcare) • Radifocus Introducer II femoral, 6-F × 10 cm (Terumo Corporation) • 0.035-inch J-tip guidewire • Two ProGlide 6-F vascular closure devices (Abbott Vascular) • Amplatz Super Stiff guidewire, 0.035 inch, 260 cm (Boston Scientific) • 16-F sheath (Cook Medical) Transseptal puncture • Swartz transseptal introducer, 8.5-F (Abbott Medical) • BRK 45° transseptal needle (Abbott Medical) • TorqVue 14-F delivery system (Abbott Medical) • Pressure transduction line for intracardiac pressure monitoring LAA occlusion device • Amplatzer Amulet Left Atrial Appendage Occluder, 31 mm (Abbott Medical) Mitral transcatheter edge-to-edge repair (TEER) • 20-F dilator (Cook Medical) • MitraClip G4 system, including steerable guide catheter and clip delivery system (Abbott Structural Heart) • MitraClip G4 XTW device (Abbott Structural Heart) Tricuspid TEER • Two MitraClip G4 XTW devices (Abbott Structural Heart).

Techniques:

Journal: JACC Case Reports

Article Title: Combined Single-Access Left Atrial Appendage Occlusion and Transcatheter Edge-to-Edge Repair for Mitral and Tricuspid Regurgitation

doi: 10.1016/j.jaccas.2025.105085

Figure Lengend Snippet: Multimodal Assessment of the Left Atrial Appendage (A) Cardiac computed tomography. (B) Transesophageal echocardiography.

Article Snippet: Left atrial appendage occlusion Imaging • Transesophageal echocardiography system (Philips Healthcare) Access • Ultrasound machine (Philips Healthcare) • Radifocus Introducer II femoral, 6-F × 10 cm (Terumo Corporation) • 0.035-inch J-tip guidewire • Two ProGlide 6-F vascular closure devices (Abbott Vascular) • Amplatz Super Stiff guidewire, 0.035 inch, 260 cm (Boston Scientific) • 16-F sheath (Cook Medical) Transseptal puncture • Swartz transseptal introducer, 8.5-F (Abbott Medical) • BRK 45° transseptal needle (Abbott Medical) • TorqVue 14-F delivery system (Abbott Medical) • Pressure transduction line for intracardiac pressure monitoring LAA occlusion device • Amplatzer Amulet Left Atrial Appendage Occluder, 31 mm (Abbott Medical) Mitral transcatheter edge-to-edge repair (TEER) • 20-F dilator (Cook Medical) • MitraClip G4 system, including steerable guide catheter and clip delivery system (Abbott Structural Heart) • MitraClip G4 XTW device (Abbott Structural Heart) Tricuspid TEER • Two MitraClip G4 XTW devices (Abbott Structural Heart).

Techniques: Computed Tomography

Journal: JACC Case Reports

Article Title: Combined Single-Access Left Atrial Appendage Occlusion and Transcatheter Edge-to-Edge Repair for Mitral and Tricuspid Regurgitation

doi: 10.1016/j.jaccas.2025.105085

Figure Lengend Snippet: Transesophageal Echocardiography–Guided Transseptal Puncture

Article Snippet: Left atrial appendage occlusion Imaging • Transesophageal echocardiography system (Philips Healthcare) Access • Ultrasound machine (Philips Healthcare) • Radifocus Introducer II femoral, 6-F × 10 cm (Terumo Corporation) • 0.035-inch J-tip guidewire • Two ProGlide 6-F vascular closure devices (Abbott Vascular) • Amplatz Super Stiff guidewire, 0.035 inch, 260 cm (Boston Scientific) • 16-F sheath (Cook Medical) Transseptal puncture • Swartz transseptal introducer, 8.5-F (Abbott Medical) • BRK 45° transseptal needle (Abbott Medical) • TorqVue 14-F delivery system (Abbott Medical) • Pressure transduction line for intracardiac pressure monitoring LAA occlusion device • Amplatzer Amulet Left Atrial Appendage Occluder, 31 mm (Abbott Medical) Mitral transcatheter edge-to-edge repair (TEER) • 20-F dilator (Cook Medical) • MitraClip G4 system, including steerable guide catheter and clip delivery system (Abbott Structural Heart) • MitraClip G4 XTW device (Abbott Structural Heart) Tricuspid TEER • Two MitraClip G4 XTW devices (Abbott Structural Heart).

Techniques:

Journal: JACC Case Reports

Article Title: Combined Single-Access Left Atrial Appendage Occlusion and Transcatheter Edge-to-Edge Repair for Mitral and Tricuspid Regurgitation

doi: 10.1016/j.jaccas.2025.105085

Figure Lengend Snippet: Imaging During Amulet LAA Occluder Deployment (A) TEE image of the tug test. (B) Duplex TEE image of the deployed Amulet LAA occluder. (C) Fluoroscopy image of the Amulet LAA occluder positioned in the LAA. LAA = left atrial appendage; TEE = transesophageal echocardiography.

Article Snippet: Left atrial appendage occlusion Imaging • Transesophageal echocardiography system (Philips Healthcare) Access • Ultrasound machine (Philips Healthcare) • Radifocus Introducer II femoral, 6-F × 10 cm (Terumo Corporation) • 0.035-inch J-tip guidewire • Two ProGlide 6-F vascular closure devices (Abbott Vascular) • Amplatz Super Stiff guidewire, 0.035 inch, 260 cm (Boston Scientific) • 16-F sheath (Cook Medical) Transseptal puncture • Swartz transseptal introducer, 8.5-F (Abbott Medical) • BRK 45° transseptal needle (Abbott Medical) • TorqVue 14-F delivery system (Abbott Medical) • Pressure transduction line for intracardiac pressure monitoring LAA occlusion device • Amplatzer Amulet Left Atrial Appendage Occluder, 31 mm (Abbott Medical) Mitral transcatheter edge-to-edge repair (TEER) • 20-F dilator (Cook Medical) • MitraClip G4 system, including steerable guide catheter and clip delivery system (Abbott Structural Heart) • MitraClip G4 XTW device (Abbott Structural Heart) Tricuspid TEER • Two MitraClip G4 XTW devices (Abbott Structural Heart).

Techniques: Imaging

Journal: JACC Case Reports

Article Title: Combined Single-Access Left Atrial Appendage Occlusion and Transcatheter Edge-to-Edge Repair for Mitral and Tricuspid Regurgitation

doi: 10.1016/j.jaccas.2025.105085

Figure Lengend Snippet: MitraClip Deployment at Mitral Valve Level (A) X-plane TEE image of the MitraClip during alignment above the mitral valve. (B) X-plane TEE image of the MitraClip advanced into the left ventricle. (C) X-plane color Doppler TEE image of the deployed MitraClip showing a significant reduction of the mitral regurgitation. (D) Fluoroscopy image of the deployed MitraClip along with the Amulet LAA occluder. LAA = left atrial appendage; TEE = transesophageal echocardiography.

Article Snippet: Left atrial appendage occlusion Imaging • Transesophageal echocardiography system (Philips Healthcare) Access • Ultrasound machine (Philips Healthcare) • Radifocus Introducer II femoral, 6-F × 10 cm (Terumo Corporation) • 0.035-inch J-tip guidewire • Two ProGlide 6-F vascular closure devices (Abbott Vascular) • Amplatz Super Stiff guidewire, 0.035 inch, 260 cm (Boston Scientific) • 16-F sheath (Cook Medical) Transseptal puncture • Swartz transseptal introducer, 8.5-F (Abbott Medical) • BRK 45° transseptal needle (Abbott Medical) • TorqVue 14-F delivery system (Abbott Medical) • Pressure transduction line for intracardiac pressure monitoring LAA occlusion device • Amplatzer Amulet Left Atrial Appendage Occluder, 31 mm (Abbott Medical) Mitral transcatheter edge-to-edge repair (TEER) • 20-F dilator (Cook Medical) • MitraClip G4 system, including steerable guide catheter and clip delivery system (Abbott Structural Heart) • MitraClip G4 XTW device (Abbott Structural Heart) Tricuspid TEER • Two MitraClip G4 XTW devices (Abbott Structural Heart).

Techniques:

Journal: JACC Case Reports

Article Title: Combined Single-Access Left Atrial Appendage Occlusion and Transcatheter Edge-to-Edge Repair for Mitral and Tricuspid Regurgitation

doi: 10.1016/j.jaccas.2025.105085

Figure Lengend Snippet: MitraClip Implantation at the Tricuspid Valve Level (A) X-plane TEE image of first MitraClip during alignment above the tricuspid valve. (B) X-plane Color Doppler TEE image of the first MitraClip grasping the anterior and septal leaflets of the tricuspid valve. (C) Color Doppler TEE image of the deployed first MitraClip in the tricuspid position showing a significant but suboptimal reduction of the tricuspid regurgitation. (D) Fluoroscopy image of the first MitraClip deployed in the tricuspid position, clips arms closed. (E) X-plane TEE image of the second MitraClip during alignment and positioning above the tricuspid valve. (F) X-plane color Doppler TEE image of the second MitraClip grasping the anterior and septal leaflets of the tricuspid valve more centrally. (G) Color Doppler TEE image of the deployed second MitraClip in the tricuspid position showing successful reduction of the tricuspid regurgitation, with only a residual trace. (H) Fluoroscopy image of the second MitraClip being positioned at the tricuspid valve level. TEE = transesophageal echocardiography.

Article Snippet: Left atrial appendage occlusion Imaging • Transesophageal echocardiography system (Philips Healthcare) Access • Ultrasound machine (Philips Healthcare) • Radifocus Introducer II femoral, 6-F × 10 cm (Terumo Corporation) • 0.035-inch J-tip guidewire • Two ProGlide 6-F vascular closure devices (Abbott Vascular) • Amplatz Super Stiff guidewire, 0.035 inch, 260 cm (Boston Scientific) • 16-F sheath (Cook Medical) Transseptal puncture • Swartz transseptal introducer, 8.5-F (Abbott Medical) • BRK 45° transseptal needle (Abbott Medical) • TorqVue 14-F delivery system (Abbott Medical) • Pressure transduction line for intracardiac pressure monitoring LAA occlusion device • Amplatzer Amulet Left Atrial Appendage Occluder, 31 mm (Abbott Medical) Mitral transcatheter edge-to-edge repair (TEER) • 20-F dilator (Cook Medical) • MitraClip G4 system, including steerable guide catheter and clip delivery system (Abbott Structural Heart) • MitraClip G4 XTW device (Abbott Structural Heart) Tricuspid TEER • Two MitraClip G4 XTW devices (Abbott Structural Heart).

Techniques:

Journal: JACC Case Reports

Article Title: Percutaneous Removal of Left Atrial Appendage Occlusion Device With a Dedicated Retrieval System

doi: 10.1016/j.jaccas.2025.104751

Figure Lengend Snippet: Multi-Modality Imaging Prior to Device Retrieval (A) Transesophageal echocardiogram showing near-complete dislodgement of the Watchman FLX device (white arrow). (B) Color Doppler assessment demonstrating flow into the left atrial appendage (red arrow). (C) Three-dimensional computed tomography demonstrating device attachment predominantly at the inferior edge of the left atrial appendage ostium (white arrowhead). LA = left atrium; LV = left ventricle.

Article Snippet: Successful use of a novel percutaneous retrieval system (ŌNŌ retrieval system, ŌNŌCOR) to remove a significantly dislodged left atrial appendage occlusion device (Watchman FLX, Boston Scientific).

Techniques: Imaging, Computed Tomography