Methods and apparatus for transpericardial left atrial appendage closure
First Claim
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1. Apparatus for minimally invasive access to the epicardial surface of the human heart, the apparatus comprising:
- an elongated flexible body including a proximal end portion and a distal end portion, at least one lumen extending between a proximal inlet and a distal outlet for carrying out a procedure in association with the epicardial surface of the heart, the elongated body being of sufficient length for insertion of at least the distal end portion through a transcutaneous access to a location between the pericardium and the epicardial surface of the heart, and at least a portion of the body adapted for insertion between the pericardium and epicardial surface having a non-circular shape.
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Abstract
Methods and apparatus for closing a left atrial appendage are described. The methods rely on introducing a closure tool from a location beneath the rib cage, over an epicardial surface, and to the exterior of the left atrial appendage. The closure device may then be used to close the left atrial appendage, preferably at its base, by any one of a variety of techniques. A specific technique using graspers and a closing loop is illustrated.
261 Citations
10 Claims
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1. Apparatus for minimally invasive access to the epicardial surface of the human heart, the apparatus comprising:
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an elongated flexible body including a proximal end portion and a distal end portion, at least one lumen extending between a proximal inlet and a distal outlet for carrying out a procedure in association with the epicardial surface of the heart, the elongated body being of sufficient length for insertion of at least the distal end portion through a transcutaneous access to a location between the pericardium and the epicardial surface of the heart, and at least a portion of the body adapted for insertion between the pericardium and epicardial surface having a non-circular shape. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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Specification