Device-Related Thrombus After Left Atrial Appendage Occlusion: Clinical Impact, Predictors, Classification, and Management

JACC Cardiovasc Interv. 2023 Nov 27;16(22):2695-2707. doi: 10.1016/j.jcin.2023.10.046.

Abstract

Despite the unprecedented advances in the left atrial appendage occlusion field, device-related thrombus (DRT) remains an unresolved issue with the therapy. This paper aims to provide a state-of-the-art review of the literature on the incidence, clinical impact, predictors and management of DRT and propose a novel classification of DRT and hypoattenuated thickening.

Keywords: atrial fibrillation; device-related thrombus; hypoattenuated thickening; left atrial appendage occlusion; stroke.

Publication types

  • Review

MeSH terms

  • Atrial Appendage* / diagnostic imaging
  • Atrial Fibrillation* / diagnosis
  • Atrial Fibrillation* / epidemiology
  • Atrial Fibrillation* / therapy
  • Humans
  • Stroke* / diagnostic imaging
  • Stroke* / etiology
  • Thrombosis* / diagnostic imaging
  • Thrombosis* / etiology
  • Thrombosis* / therapy
  • Treatment Outcome