Percutaneous Retrieval of Left Atrial Appendage Closure Devices in Patients With Atrial Fibrillation: A Case Report

Frontiers in Cardiovascular Medicine

article

Saihua Wang¹  Juhua Zhang²  Shuwen Hao¹  Luoning Zhu¹  Zhongping Ning¹  Zhihong Zhao¹ 

[1] Department of Cardiology, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital;Department of Social Medicine and Health Career Management, School of Public Administration, Fudan University

关键词: atrial fibrillation;    dislodgment;    left atrial appendage closure;    complications;    retrieval;   

DOI  :  10.3389/fcvm.2022.905344

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Left atrial appendage closure (LAAC) devices can be inadvertently released into unfavorable locations, which may allow them to migrate to a different position within the left atrial appendage or embolize from the heart into the aorta. In such instances, it can be challenging to remove the LAAC device. Here, we present two cases in which patients with atrial fibrillation experienced LAAC device exposure at an inappropriate site because of interventional operator error and device mismatch: (a) the LAAC device was dislodged into the aortic arch and retrieved percutaneously from the femoral artery route, and (b) in the left atrium, which was dislodged into the left atrium and retrieved via atrial transseptal puncture of the femoral vein.

【 授权许可】

CC BY