Method for closure and ablation of atrial appendage
A device, system, and method for ligating the left atrial appendage without creating pro-arrhythmic tissue. The device may generally include a snare including a thermally transmissive distal portion and a suture including a distal portion, both distal portions having a lasso-shaped configuration that may be positioned proximate the base of the left atrial appendage. Once the distal portions of the snare and the suture are tightened around the base of the left atrial appendage, the thermally transmissive distal portion of the snare may be activated to create an ablation lesion in adjacent left atrial appendage tissue. The lesion may be created with radiofrequency energy or through cryoablation by the circulation of refrigerant within the thermally transmissive distal portion of the snare.
1. A device for ligating a left atrial appendage, the device comprising:
a first elongate body including a proximal portion and a thermally transmissive distal portion;
a second elongate body having a proximal portion and a distal portion, the distal portion of the second elongate body being releasably engageable with the proximal portion of the second elongate body;
the thermally transmissive distal portion of the first elongate body having a lasso configuration, the thermally transmissive distal portion of the first elongate body including a slidable element slidably engaged with the second elongate body;
the distal portion of the second elongate body having a lasso configuration, the distal portion of the second elongate body being disposed around the first elongate body; and
an anchoring device configured to be anchored to the left atrial appendage, the anchoring device comprising:
a third elongate body having a first portion and a second portion;
a first magnet; and
a second magnet, the first portion having the first magnet and the second portion having the second magnet, the first portion and the second portion being secured together through the left atrial appendage by the first magnet and the second magnet, the lasso-shaped configuration of the thermally transmissive distal portion of the first elongate body and the lasso-shaped configuration of the distal portion of the second elongate body configured to be advanced over the third elongate body.
2. The device of claim 1 , wherein the lasso-shaped configuration of the thermally transmissive distal portion of the first elongate body has an adjustable diameter.
3. The device of claim 1 , wherein the lasso-shaped configuration of the distal portion of the second elongate body has an adjustable diameter.
4. The device of claim 1 , the device further including a first sheath and a second sheath being disposed about at least a portion of the first sheath, at least a portion of each of the first elongate body and the second elongate body being within the first sheath, the first sheath being slidable relative to the first elongate body, second elongate body, and the second sheath.
5. The device of claim 1 , wherein the thermally transmissive distal portion of the first elongate body is configured to transmit radiofrequency energy.
6. The device of claim 5 , wherein at least the thermally transmissive distal portion of the first elongate body is composed of an electrically conductive material.
7. The device of claim 1 , wherein the first elongate body defines a fluid lumen therein, the fluid lumen being configured to be in fluid communication with a source of refrigerant.
8. The device of claim 7 , wherein the thermally transmissive distal portion of the first elongate body is configured to reach a temperature that is sufficiently low enough to ablate adjacent tissue.