Watchman TruSteer deep dive & Cases Steering, Coaxiality, and Deployment Efficiency in LAAC

Описание: In this MurmurMD discussion, Dr. Raghava Gollapudi and Dr. Arvin Narula break down how the Watchman TruSteer sheath changes left atrial appendage occlusion (LAAO) workflows — from transeptal access to final device deployment.

The conversation focuses on real-world use, and highlights when TruSteer adds value, how it improves coaxiality, and why many operators are moving toward using it routinely.

Topics covered in this transcript-based discussion include:
• Why earlier Watchman sheaths limited depth and stability
• How TruSteer allows four-directional control (superior, inferior, anterior, posterior)
• Using the device body and sheath as complementary anchoring mechanisms
• Improving coaxial alignment without repeating transeptal puncture
• Why TruSteer reduces redeployments and manipulation
• Large anterior chicken-wing, flat, and posterior appendage anatomy
• Efficiency gains vs cost considerations
• Why some operators now use TruSteer in nearly every case
• Safety pearls: avoiding steering with the dilator in place
• Minimizing air and bubble risk by reducing sheath exchanges
• Achieving zero-leak goals in the Watchman FLX era

A practical discussion for operators looking to improve precision, safety, and efficiency in LAAO.

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Chapters:
00:00 – Introduction to Watchman TruSteer
00:40 – Limitations of earlier Watchman sheaths
01:40 – Four-directional steering and coaxial control
03:00 – Using the sheath vs the device body for positioning
04:10 – Challenging appendage anatomy: chicken-wing and posterior LAA
05:30 – Improving depth without repeating transeptal
06:40 – Efficiency, safety, and air management
08:00 – Cost vs value: when TruSteer adds benefit
09:20 – Zero-leak mindset in the FLX era
10:40 – Safety tips and final takeaways

#LAAO #LAAC #Watchman #TruSteer #StructuralHeart
#InterventionalCardiology #CathLab #MurmurMD
#WatchmanFLX #LeftAtrialAppendage