LAA closure with imaging guidance

Summary

From the very beginning of LAA closure, imaging plays a central role which is touched on in this wide-ranging discussion led by O. Muller with S. Berti and F. Hellig. To understand the complex anatomy of the left atrial appendage we need to effectively use imaging, even before the intervention begins.

Again, we depend on imaging to see if there is thrombus present, or to plan our clinical strategy or afterwards to judge the efficacy of our intervention – but what are the minimum imaging modalities we need to in order to safely perform LAA closure? What imaging technologies are employed today, and are there new ones emerging? How do we integrate the different imaging technologies into our clinical approach during closure?