Watchman FLX Implantation for Challenging Left Atrial Appendage Anatomy: Case-Based Discussion Article

Full Text via DOI: 10.1016/j.cpcardiol.2022.101266 Web of Science: 000861571800003

Cited authors

  • Joury A, Englert JAR, Bernard M, Jenkins JS, Dinshaw H, Gilliland Y, Qamruddin S


  • Left atrial appendage (LAA) occlusion devices provided an acceptable and valid alternative to anticoagulation among patients with atrial fibrillation who carry high bleeding risk. Watchman device is non-inferior to oral anticoagulation to prevent cerebrovascular accidents. The presence of a longer distal portion of the older generation Watchman led to exclusion of patients with prohibitive anatomy of the LAA such as chicken-wing morphology or shallow LAA. Watchman FLX provides a wider range of sizes and can be implanted with complex anatomy or shallow LAA. In the case series, we discuss 3 patients with challenging LAA anatomy that underwent successful Watchman FLX implantation.

Publication date

  • 2022

Published in

International Standard Serial Number (ISSN)

  • 0146-2806

Number of pages

  • 18


  • 47


  • 9