A simple percutaneous retrieval technique for an embolized watchman left atrial appendage closure device in the thoracic aorta using a homemade snare: A case report

Anggia Chairuddin Lubis, Mohammad Iqbal, Dian Andina Munawar, Beny Hartono, Muhammad Munawar

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)1153-1155
Number of pages3
JournalInternational Heart Journal
Volume62
Issue number5
DOIs
Publication statusPublished - 2021

Keywords

  • Atrial fibrillation
  • Complication
  • Left atrial appendage occlusion

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