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A Case of Combined Pulmonary Vein Isolation (PVI) & Watchman Implant Through Hepatic Vein in a Patient with Interrupted Inferior Vena Cava (IVC)
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  • Negar Niknam,
  • Sameh Girgis,
  • Zabeer Bhatti,
  • Jalal Mohsin,
  • Ahmed Kamel Abdel Aal,
  • Ramesh Hariharan,
  • Khashayar Hematpour
Negar Niknam
University of Houston
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Sameh Girgis
The University of Texas Health Science Center at Houston
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Zabeer Bhatti
The University of Texas Health Science Center at Houston
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Jalal Mohsin
University of Houston
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Ahmed Kamel Abdel Aal
The University of Texas Health Science Center at Houston Department of Diagnostic and Interventional Imaging
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Ramesh Hariharan
The University of Texas Health Science Center at Houston
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Khashayar Hematpour
The University of Texas Health Science Center at Houston

Corresponding Author:[email protected]

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Abstract

Performing afib ablation combined with the placement of the Watchman device for LAA occlusion has been evaluated before, with results showing evidence of safety and ability to perform (6). This can save time and materials allowing patients to have two procedures simultaneously, preventing repeating exposure to possible risks that come with general anesthesia and transseptal puncture, and decreasing the total length of hospital stay (7-8). In this case, especially we proceeded with the combined procedure due to difficulty in obtaining access associated with total interruption of IVC and the obligation to use alternative non-conventional ways as the transhepatic access that may lead to higher risk upon repeating.