title: Successful percutaneous retrieval of a dislodged left atrial appendage occlusion device with double transseptal sheaths and biopsy bioptome.
abstract: A 64-year-old woman underwent left atrial appendage occlusion with an Amplatzer Cardiac Plug device. Displacement of the device was detected on day 1 with transesophageal echocardiographic checking. The device became dislodged and flitted in the left atrium after unsuccessful retrieval with a snare and 12 Fr steerable transseptal sheath. A double transseptal sheath technique was then attempted. The flitting device was stabilized by one 12 Fr steerable transseptal sheath and successfully retrieved with a biopsy bioptome through another similar transseptal sheath. The patient suffered from no long-term sequelae.
authors.affiliation: Department of Medicine and Geriatrics, Princess Margaret Hospital, Kowloon, Hong Kong.
authors.forename: Ngai-Yin
authors.initials: NY
authors.lastname: Chan
authors.forename: Chi-Chung
authors.initials: CC
authors.lastname: Choy
authors.forename: Chun-Leung
authors.initials: CL
authors.lastname: Lau
mesh_terms: D020517:Atrial Appendage / Q000000981:diagnostic imaging / Q000503:physiopathology*; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D001706:Biopsy / Q000295:instrumentation*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D062906:Cardiac Catheters; D020878:Device Removal / Q000295:instrumentation*; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D015641:Radiography, Interventional; D013997:Time Factors; D016896:Treatment Outcome
keywords: atrial fibrillation; biopsy bioptome; dislodgement; left atrial appendage occlusion; percutaneous retrieval