Categories: Narayanahealth

Left Atrial Appendage Closure at Chinmaya Narayana Superspeciality Centre

A 69-year-old gentleman, with past medical history of recurrent cardio-embolic cerebrovascular accidents (2 episodes), coronary artery disease – status post PCI, nonvalvular atrial fibrillation, and history of abdominal Koch’s with diffuse gastrointestinal ulceration, approached us seeking help to manage his stroke vs. bleeding risk. He was not able to tolerate oral anticoagulants well and had a history of multiple hospital admissions with G.I. blood loss. On the last occasion, when he had defaulted on anticoagulants during an episode of G.I. bleeding, he had suffered an ischemic stroke. We discussed the non-pharmacological options to prevent further cerebrovascular accidents with the patient and his relatives, and they opted for left atrial appendage closure device.

On April 13, under general anaesthesia, with transesophageal echo and fluoroscopic guidance, left atrial appendage closure was done with AMPLATZER™ cardiac plug by our team of doctors. The procedure went well, and the patient was discharged on the following day.

On follow-up, the patient is doing well with no recurrence of ischemic cerebrovascular accidents or any G.I. bleeding. The patient is extremely happy with the discontinuation of oral anticoagulants. This procedure opens up a new avenue of managing stroke in nonvalvular atrial fibrillation, which otherwise requires oral anticoagulation and is at high risk of bleeding accidents, secondary to oral anticoagulation. Team CNH is proud to participate in bringing this new innovation into the mainstream. CNH is only the third centre in Bangalore to perform this procedure and our team remains committed to bringing more innovative therapies for needy patients in the future.

Narayana Health

Recent Posts

सर्वाइकल कैंसर या बच्चेदानी के मुंह का कैंसर

बच्चेदानी के मुंह का कैंसर महिलाओं में होने वाले कैंसर में दूसरे स्थान पर आता…

2 weeks ago

Cervical Cancer Screening

Regular cervical screening can prevent about seven or eight out of every 10 cervical cancers…

2 weeks ago

Amyotrophic lateral sclerosis: All you need to know

Amyotrophic lateral sclerosis Table of Content: What is amyotrophic lateral sclerosis? Who gets ALS? What…

3 weeks ago

Brain Angiogram: Why Is It Done?

Brain angiogram, also known as a cerebral angiogram, is one of the common diagnostic tests…

3 weeks ago

All you need to know about Ataxia

Table of Content: What is Ataxia? Causes Symptoms Risk Factors & Complications How is it…

3 weeks ago

पोस्ट कोविड सिंड्रोम में तेजी से बढ़ रही पल्मोनरी फाइब्रोसिस और एम्बोलिज्म (खून के थक्के) की समस्या

जयपुर। कोरोना संक्रमण से ठीक होने के बाद भी फेफड़ों पर इसका असर लंबे समय…

3 weeks ago