Retrieval of embolized left atrial appendage devices

Catheter Cardiovasc Interv. 2018 Jun;91(7):E75-E80. doi: 10.1002/ccd.26800. Epub 2016 Sep 28.

Abstract

Percutaneous left atrial appendage (LAA) closure is gaining interest as an alternative option for prevention of strokes in patients with Atrial Fibrillation (AF), especially for those with contraindications to anticoagulation. Complications from these procedures are well described in the medical literature. LAA closures may lead to pericardial effusion, device-associated thrombus, and device embolization. Understanding the reasons for embolization, strategies to avoid embolization, and the techniques for retrieval of LAA devices (ACP/AMULET and WATCHMAN) should be appreciated by endovascular implanters. We describe two cases of LAA device embolization that were both successfully retrieved percutaneously and other percutaneous techniques to safely retrieve embolized LAA devices. © 2016 Wiley Periodicals, Inc.

Keywords: closure; foreign body; percutaneous; structural.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Aged, 80 and over
  • Atrial Appendage* / physiopathology
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / therapy*
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / instrumentation*
  • Device Removal / methods*
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / therapy*
  • Humans
  • Male
  • Radiography, Interventional
  • Tomography, X-Ray Computed
  • Treatment Outcome