Left atrial appendage occlusion with the steerable sheath
Transcript of Left atrial appendage occlusion with the steerable sheath
![Page 1: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/1.jpg)
CBF KARDIOLOGIE
0
Jai-Wun Park, MD
Klinik für Kardiologie
Campus Benjamin Franklin
Charité - Universitätsmedizin Berlin
JCR Busan, Korea
2018, December 8th
Left atrial appendage occlusion
with the steerable sheath
![Page 2: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/2.jpg)
CBF KARDIOLOGIE
1. Successful sealing off the LAA
2. Avoiding device embolization & LAA perforation
3. Shortening implantation time
4. Shortening learning curve
5. Bail out in case of device embolization
What is an ideal LAAO-strategy?
![Page 3: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/3.jpg)
CBF KARDIOLOGIE
1. Successful sealing off the LAA
More controlled and precise landing of the device
2. Avoiding device embolization & LAA perforation
More controlled and atraumatic advance of sheath into LAA
3. Shortening implantation time
Using one cath for TS-access and device delivery and no need for
repositioning
4. Shortening learning curve
simple and forgiving unprecise TSP-site
5. Bail out in case of device embolization
Easy, fast, and safe removal of the device
Operator stress
What is an ideal LAAO-strategy?
5 arguments for using steerable sheath
![Page 4: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/4.jpg)
CBF KARDIOLOGIE
Occlutech® steerable sheath 14F
CONFIDENTIAL - © Occlutech 2015. All rights reserved.
![Page 5: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/5.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 6: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/6.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 7: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/7.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 8: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/8.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 9: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/9.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 10: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/10.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 11: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/11.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 12: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/12.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 13: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/13.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 14: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/14.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 15: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/15.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 16: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/16.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 17: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/17.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 18: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/18.jpg)
CBF KARDIOLOGIE
![Page 19: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/19.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 20: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/20.jpg)
CBF KARDIOLOGIE
OCCLUTECH LAAO
steerable sheath for TSP & device delivery
![Page 21: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/21.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery, 10F
Kleinecke C, Monterrosas OG, … Shin E-S, et Park J-W. J Interven Cardiol. 2018;1–6.
![Page 22: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/22.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 23: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/23.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 24: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/24.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 25: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/25.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 26: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/26.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 27: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/27.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 28: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/28.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 29: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/29.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 30: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/30.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 31: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/31.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 32: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/32.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 33: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/33.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 34: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/34.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 35: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/35.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 36: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/36.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 37: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/37.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery
![Page 38: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/38.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery Kleinecke C, Monterrosas OG, …, Shin E-S, et Park J-W. J Interven Cardiol. 2018;1–6.
![Page 39: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/39.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery Kleinecke C, Monterrosas OG, …, Shin E-S, et Park J-W. J Interven Cardiol. 2018;1–6.
![Page 40: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/40.jpg)
CBF KARDIOLOGIE
LAmbre LAAO steerable sheath Fustar®
for TSP & device delivery Kleinecke C, Monterrosas OG, …, Shin E-S, et Park J-W. J Interven Cardiol. 2018;1–6.
![Page 41: Left atrial appendage occlusion with the steerable sheath](https://reader031.fdocuments.us/reader031/viewer/2022020623/61f211789e5508692a543cfd/html5/thumbnails/41.jpg)
CBF KARDIOLOGIE
More controlled and precise landing of the device
More controlled and atraumatic advance of sheath into LAA
Using one cath for TS-access and device delivery and no need for
repositioning
Simple and forgiving unprecise TSP-site
Easy, safe, and fast LAAO procedure
5 arguments for using steerable sheath
Conclusion