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A Simple Percutaneous Retrieval Technique for an Embolized Watchman Left Atrial Appendage Closure Device in the Thoracic Aorta Using a Homemade Snare.
- Source :
-
International heart journal [Int Heart J] 2021 Sep 30; Vol. 62 (5), pp. 1153-1155. Date of Electronic Publication: 2021 Sep 17. - Publication Year :
- 2021
-
Abstract
- A 60-year old male with paroxysmal atrial fibrillation underwent a combined procedure of left atrial appendage occlusion and pulmonary vein isolation. However, an acute intraprocedural 24-mm Watchman device dislodgement occurred, and thus a decision for urgent surgery was made. However, it was noted during the surgery that the device had migrated further to the descending aorta, just distal to the left subclavian artery. Since a right sternotomy access for retrieval was not feasible, a percutaneous approach was justified. A homemade snare was created using a combination of a long sheath, J-wire, and a regular snare, and the device was successfully retrieved without significant difficulty.
- Subjects :
- Aorta, Thoracic surgery
Cardiac Catheterization methods
Cardiac Surgical Procedures methods
Combined Modality Therapy methods
Humans
Male
Middle Aged
Pulmonary Veins surgery
Subclavian Artery surgery
Treatment Outcome
Atrial Appendage surgery
Atrial Fibrillation surgery
Cardiac Surgical Procedures trends
Device Removal instrumentation
Septal Occluder Device adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1349-3299
- Volume :
- 62
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- International heart journal
- Publication Type :
- Academic Journal
- Accession number :
- 34544965
- Full Text :
- https://doi.org/10.1536/ihj.20-790