Percutaneous Retrieval of Dislodged Left Atrial Appendage Occlusion Devices through the Transseptal Approach.
Percutaneous left atrial appendage (LAA) occlusion is a promising treatment option in patients with atrial fibrillation who have a high risk of embolic stroke and are not eligible for chronic oral anticoagulation therapy. This procedure, however, can induce several complications. Device embolization can result in a serious situation, requiring immediate and safe device removal. We report two cases in which dislodged LAA occlusion devices were flitting in the left atrium or entrapped in the mitral valve leaflets and were successfully retrieved through a transseptal approach without complications.
Regional Cardiovascular Disease Center, Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea.
Sang Yeub
SY
Lee
Division of Cardiology, Cardiovascular Center, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Jin-Seok
JS
Kim
Division of Cardiology, Heart Research Institute, College of Medicine, Chung-Ang University, Seoul, Korea.
Seung Yong
SY
Shin
Division of Cardiology, Cardiovascular Center, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Hong Euy
HE
Lim
D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000601:surgery*; D020878:Device Removal / Q000379:methods*; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D055989:Septal Occluder Device; D016896:Treatment Outcome; D065506:Vascular Closure Devices
atrial fibrillation; embolism; percutaneous left atrial appendage occlusion; percutaneous retrieval