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CBF KARDIOLOGIE 0 Jai-Wun Park, MD Klinik fü r Kardiologie Campus Benjamin Franklin Charité - Universitätsmedizin Berlin JCR Busan, Korea 2018, December 8 th Left atrial appendage occlusion with the steerable sheath

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Page 1: Left atrial appendage occlusion with the steerable sheath

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

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

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

CBF KARDIOLOGIE

Occlutech® steerable sheath 14F

CONFIDENTIAL - © Occlutech 2015. All rights reserved.

Page 5: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 6: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 7: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 8: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 9: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 10: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 11: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 12: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 13: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 14: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 15: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 16: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 17: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 18: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

Page 19: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 20: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

OCCLUTECH LAAO

steerable sheath for TSP & device delivery

Page 21: Left atrial appendage occlusion with the steerable sheath

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

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 23: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 24: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 25: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 26: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 27: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 28: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 29: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 30: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 31: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 32: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 33: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 34: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 35: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 36: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 37: Left atrial appendage occlusion with the steerable sheath

CBF KARDIOLOGIE

LAmbre LAAO steerable sheath Fustar®

for TSP & device delivery

Page 38: Left atrial appendage occlusion with the steerable sheath

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

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

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

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


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