LEFT ATRIAL APPENDAGE CLOSURE USING LEFT FEMORAL VEIN APPROACH

Atrial Fibrillation (AF) is the most common tachyarrhythmia and is associated with major complications such as thromboembolic events. Anticoagulation therapy remains an important component of AF treatment to avoid thromboembolism. Left Atrial Appendage (LAA) closure may be considered in patients with AF with high stroke risk and contraindications for long term Oral Anti Coagulation (OAC) therapy. Devices for LAA closure are usually placed trans-septally using the Right Femoral Vein (RFV) approach (1). Alternative approaches for accessing the left atrium have been reported. (2) but there are no reports on usage of the Laft Femoral Vein (LFV) for LAA closure by using watchman device, that is unusual for septal puncture(3). In this report, we describe a LAA closure in a 83 year old patient using the LFV approach.