Patient Selection
Five consecutive patients (4 men and 1 woman; age 64-91 years) presented for completion of LAA closure (LAAC) after a prior procedure resulted in an unacceptable amount of residual leak. Patients referred for consideration of closure of the residual LAA communication were discussed in an interdisciplinary meeting with representatives from neurology, electrophysiology, cardiac surgery, interventional and general cardiology. The CHADS2, CHA2DS2-VASc, and HAS-BLED scores were calculated to estimate ischemic stroke and bleeding risk respectively. Patients that were appropriate for LAAC were scheduled for the procedure. Institutional Review Board (IRB) approval was obtained prior to data collection.