When transcatheter LAA closure becomes challenging

Session comprising selected EuroPCR 2026 clinical cases submissions

Moderators: M. Asami, J. Silvain

Summary

This session addresses the technical and clinical challenges encountered during transcatheter left atrial appendage (LAA) closure, including management of peri-device leaks, alternative access routes like transhepatic approaches, complications following surgical closures, and rare procedural adversities such as accidental aortic puncture.

Presentations available when logged in:

  • Peri-device leak - Management and techniques for closure
  • Percutaneous approach to residual left atrial appendage communication after surgical closure
  • Transhepatic access for left atrial appendage closure. When standard approach is non viable
  • LAA occlusion in a patient with a PFO closure device: technical challenges
  • Oh no I have lost my amulet
  • Accidental puncture of the descending aorta during left atrial appendage closure