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Thromboembolism after WATCHMANTM in a clopidogrel non-responder: A case for concern?

Publication ,  Journal Article
Venkataraman, G; Bliden, KP; Tantry, US; Gurbel, PA
Published in: Catheter Cardiovasc Interv
July 2018

Atrial fibrillation (AF) is associated with an increased risk of stroke and thromboembolism (TE). The WATCHMANTM left atrial appendage (LAA) closure device is indicated to reduce the risk of TE from the LAA in patients with non-valvular AF. Here, we present a case of a patient with device-related thrombus who suffered a TE event two months after WATCHMANTM LAA closure and two weeks after switching from aspirin plus warfarin to aspirin plus clopidogrel therapy. Laboratory investigation identified the patient to be hypercoagulable and to be a non-responder to clopidogrel therapy. We discuss the potential role of platelet function testing to prevent device-related thrombi.

Duke Scholars

Published In

Catheter Cardiovasc Interv

DOI

EISSN

1522-726X

Publication Date

July 2018

Volume

92

Issue

1

Start / End Page

200 / 202

Location

United States

Related Subject Headings

  • Warfarin
  • Treatment Outcome
  • Time Factors
  • Thromboembolism
  • Risk Factors
  • Predictive Value of Tests
  • Platelet Function Tests
  • Platelet Aggregation Inhibitors
  • Humans
  • Female
 

Citation

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Chicago
ICMJE
MLA
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Venkataraman, G., Bliden, K. P., Tantry, U. S., & Gurbel, P. A. (2018). Thromboembolism after WATCHMANTM in a clopidogrel non-responder: A case for concern? Catheter Cardiovasc Interv, 92(1), 200–202. https://doi.org/10.1002/ccd.27402
Venkataraman, Ganesh, Kevin P. Bliden, Udaya S. Tantry, and Paul A. Gurbel. “Thromboembolism after WATCHMANTM in a clopidogrel non-responder: A case for concern?Catheter Cardiovasc Interv 92, no. 1 (July 2018): 200–202. https://doi.org/10.1002/ccd.27402.
Venkataraman G, Bliden KP, Tantry US, Gurbel PA. Thromboembolism after WATCHMANTM in a clopidogrel non-responder: A case for concern? Catheter Cardiovasc Interv. 2018 Jul;92(1):200–2.
Venkataraman, Ganesh, et al. “Thromboembolism after WATCHMANTM in a clopidogrel non-responder: A case for concern?Catheter Cardiovasc Interv, vol. 92, no. 1, July 2018, pp. 200–02. Pubmed, doi:10.1002/ccd.27402.
Venkataraman G, Bliden KP, Tantry US, Gurbel PA. Thromboembolism after WATCHMANTM in a clopidogrel non-responder: A case for concern? Catheter Cardiovasc Interv. 2018 Jul;92(1):200–202.
Journal cover image

Published In

Catheter Cardiovasc Interv

DOI

EISSN

1522-726X

Publication Date

July 2018

Volume

92

Issue

1

Start / End Page

200 / 202

Location

United States

Related Subject Headings

  • Warfarin
  • Treatment Outcome
  • Time Factors
  • Thromboembolism
  • Risk Factors
  • Predictive Value of Tests
  • Platelet Function Tests
  • Platelet Aggregation Inhibitors
  • Humans
  • Female