
Nina Wunderlich
Dr. Nina Wunderlich is a German cardiologist and internationally recognized expert in 3D echocardiography, Head of Structural Heart Diseases/Noninvasive Cardiology at Asklepios Klinik Langen (formerly Cardiovascular Center Darmstadt).
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Sep 15, 2026
How to anticipate a complex left atrial appendage closure intervention?
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Xavier FreixaHOST
What are the par- parameters that really matter, you know, now, when we're closing an appendage?

Nina WunderlichGUEST
I mean, it wasn't really helpful in telling us, uh, if a procedure is really challenging.

Nina WunderlichGUEST
Yeah? We knew if you have a cauliflower morphology, we might have some more thrombi in the left atrial appendage.

Nina WunderlichGUEST
Or if you have a Sanford, for example, you knew, well, you might have, or you might need a specific technique to close, uh, the left atrial appendage.

Nina WunderlichGUEST
So that's why we did some efforts and try, uh, to collect parameters, which are really important and which can really influence, uh, uh, your procedural strategy or device selection, uh, which could tell you that this procedure might be a more challenging one than a simple one.

Xavier FreixaHOST
So what do you think that it's an optimal implant for, uh, an LA closure device?