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Robotic Application of an AtriClip for Chronic Atrial Fibrillation

Tuesday, September 24, 2024

Agrawal D, Aly Y, Hamer M-rissa, Thekkudan J, Ang K, Clark S. Robotic Application of an AtriClip for Chronic Atrial Fibrillation. September 2024. doi:10.25373/ctsnet.27096100

This video demonstrates the application of an AtriClip using the Intuitive XI robot. The authors believe this is the first case of its kind in the United Kingdom and Europe. The patient was an 82-year-old man with a very high BMI of 52. He had idiopathic thrombocytopenia and had experienced two spontaneous intracranial hemorrhages. He was in chronic atrial fibrillation (AF) but could not be anticoagulated safely due to his medical history, which posed a risk of embolic stroke. To minimize the potential for procedural complications, the authors elected to use an Intuitive XI robot to place an AtriClip and completely occlude the left atrial (LA) appendage. The authors show the steps in the procedure. The patient recovered quickly with no complications and was discharged home within 24 hours of surgery.  


References

  1. Anduaga I, Affronti A, Cepas-Guillén P, Alcocer J, Flores-Umanzor E, Regueiro A, Brugaletta S, Quintana E, Sanchis L, Sabaté M, Freixa X. Non-Pharmacological Stroke Prevention in Atrial Fibrillation. J Clin Med. 2023 Aug 25;12(17):5524.

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Comments

Nice video. What was the issue with a Watchman exactly? Also since you used 4 ports, you could have used the 4th arm to retract the lung in the beginning

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