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Abstract #4852

Cardiac magnetic resonance imaging for preprocedural planning of percutaneous left atrial appendage closure

Dagmar Bertsche1, Patrick Metze1, Erfei Luo1, Tillman Dahme1, Birgit Gonzka1, Wolfgang Rottbauer1, Ina Vernikouskaya1, Leonhard Moritz Schneider1, and Volker Rasche1
1Internal Medicine II, Ulm University Medical Center, Ulm, Germany

Synopsis

Keywords: Arrhythmia, MR-Guided Interventions, LAA closere, preprocedural planningAn isotropic 2D six-point Dixon method was applied for assessment of the left arterial appendix (LAA) morphology prior to LAA closure intervention. Sufficient image quality was achieved even in highly arrhythmic patients allowing for the preinterventional quantification of the LAA dimensions as required for proper closure device selection. MR derived diameters were compared to periprocedurally TEE and XR derived values, which were in good agreement. Further, optimal XR angulation providing projections perpendicular to the envisaged landing zone could be identified.

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Keywords