[Dislodgement of a left atrial appendage occluder : Step-by-step management by retrograde extraction with a "home-made snare" and two sheaths]

Herzschrittmacherther Elektrophysiol. 2020 Dec;31(4):430-433. doi: 10.1007/s00399-020-00726-3.
[Article in German]

Abstract

Dislodgement of a left atrial appendage occluder after liberation represents a nightmare in cardiac interventions. We present a case with this complication and an easy step-by-step protocol that can help to retrieve and venously extract this foreign body with less stress. Particularly the do-it-yourself construction of a "home-made snare" facilitates trapping of large implants which are too large for conventional snares.

Keywords: Atrial fibrillation; Complication; Extraction; Left atrial appendage occluder; Snare.

MeSH terms

  • Atrial Appendage* / diagnostic imaging
  • Atrial Appendage* / surgery
  • Atrial Fibrillation* / surgery
  • Cardiac Catheterization
  • Device Removal
  • Foreign-Body Migration*
  • Humans
  • Septal Occluder Device*
  • Stroke*
  • Treatment Outcome