LUPVLeft Upper Pulmonary Vein
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The diameter of the left upper pulmonary vein (LUPV) at the point of insertion site into the LA is measured, alongside peak systolic and diastolic pulmonary vein flow using pulse-wave Doppler.
Any interference with surrounding structures resulting in disruption of MV function and pulmonary vein flow (particularly of the LUPV) is noted prior to final irretrievable device deployment.
During follow-up TEE the occluding device is assessed for stability and for evidence of displacement, erosion, or encroachment on surrounding structures, particularly the LUPV and mitral valve.