Left Atrial Appendage Closure (LAAC): procedure planning & device positioning with advanced imaging

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Atrial Fibrillation (AF) is the most common cardiac arrhythmia which affects more than 7 million people in the USA. 91% of strokes in AF are caused by blood clots that form in the left atrial appendage (LAA).

Oral anticoagulation (OAC) is the standard treatment to reduce the risk, however between 10 to 15% of patients have contraindications to OAC. For these patients, LAAC procedures represent a very good alternative. However, they bring some challenges that can be minimized with the use of some tools and techniques which can reduce complication rates to the maximum.

Dr Marco Spaziano (Interventional cardiologist at McGill University Health Center, Montreal, Canada) worked as a fellow at ICPS Massy in collaboration with Dr Garot, on several LAAC procedures and presents this webinar on LAA closure procedure planning & device positioning with advanced imaging.

Dr Spaziano will share with the audience his experience on LAAC procedures and how the use of Valve ASSIST 2 helped reduce procedure time, contrast media and X-Ray dose.

This webinar is intended to educate interventional cardiologists, cardiac surgeons, echocardiographers, device manufacturers and related healthcare professionals.


Marco Spaziano

Marco Spaziano

This webinar is supported by

Key Learning Objectives

  • The challenges faced by the heart team at each step of an LAAC procedure (plan/guide/assess)
  • How to accurately plan the LAA closure intervention using a CT scanner, including device sizing and how to determine the optimal zone for the transeptal puncture
  • How to improve safety, reduce procedure time and contrast media with image fusion

Target Audience

  • Interventional Cardiologists
  • Cardiac surgeons
  • Echocardiographers
  • Device manufacturers

Faculty Biographies

Marco Spaziano

Marco Spaziano

Dr Marco Spaziano, MD, has been an Interventional cardiologist at McGill University Health Center in Montreal, Canada since 2015 and prior to that worked as a fellow at the Cardiovascular Institute Paris South (ICPS).

He has published over 20 original papers in the field of structural heart intervention with an emphasis on imaging.

He received the Jean Roy Research Award in Cardiology in 2016 and 2017 for his research in transcatheter aortic valve implantation and the Mar-Kin Foundation Award in 2015 for interventional cardiology.

His research focuses on the clinical outcomes of various structural heart interventions.

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Key References

1. Novel Integrated 3D Multi-Detector Computed Tomography and Fluoroscopy Fusion for Left Atrial Appendage Occlusion Procedures - Publication in JACC, Volume 68, Issue 18_S, November 2016 – http://content.onlinejacc.org/article.aspx?articleid=2576729

2. Panaich and Holmes, Curr Treat Options Cardio Med, 2017 O’Brien et al, AHJ, 2014