Percutaneous retrieval of an endothelialized AMPLATZER cardiac plug from the abdominal aorta 6 months after embolization

Obeid, Slayman; Nietlispach, Fabiàn; Lüscher, Thomas F.; Alibegovic, Jasmina

doi:10.1093/eurheartj/ehu361

Cited by 5 publications

(3 citation statements)

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“…Results of the current study demonstrated clinically insignificant leaks in 7% of patients at TEE follow‐up, with no related thromboembolic event. Thus, attempts to reposition the device and achieve complete sealing, which bear the risk of pericardial effusion/cardiac tamponade by injuring the LAA , can be minimized and a less than ideal position seems to be acceptable.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous left atrial appendage occlusion: Effect of device positioning on outcome

Wolfrum¹,

Attinger‐Toller²,

Shakir

et al. 2016

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 99%

Percutaneous left atrial appendage occlusion: Effect of device positioning on outcome

Wolfrum¹,

Attinger‐Toller²,

Shakir

et al. 2016

Cathet Cardio Intervent

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“…A study published by Swaans et al [5] described device embolization 3 months following the procedure. Another case described percutaneous retrieval of an AMPLATZER cardiac plug 6 months after embolization [23]. In a systematic review, Aminian et al [24] concluded that embolization occurred mostly in the periprocedural period but late embolization was not uncommon.…”

Section: Discussionmentioning

confidence: 99%

Late discovery of left atrial appendage occluder device embolization: a case report

Mansour

Benic

Didier

et al. 2020

BMC Cardiovasc Disord

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Background: Left atrial appendage (LAA) closure has been well evaluated in the prevention of stroke in patients with atrial fibrillation. Device embolization remains one of the most common complications. To the best of our knowledge, there have been no reports of late discovery of LAA occluder device embolization at 1.5 years after implantation. Case presentation: We describe the case of a 77-year-old man who underwent uneventful LAA closure. Echocardiography performed the next day showed the device in place. The patient was discharged but was then lost to follow-up. 1.5 years later, he was admitted for ischemic stroke. Transesophageal echocardiography showed the absence of the occluder device in the LAA. Computed tomography scan of the abdomen showed the device in the abdominal aorta. Due to the high cardiovascular risk, the device was kept in place and the patient was treated medically. Conclusions: Per-procedural and late device embolization are not uncommon. Review of the literature however showed no report of late discovery of device embolization at 1.5 years. Follow-up echocardiography is mandatory for the detection of endothelialization or embolization.

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“…14,15 Endothelialization of the migrated device can make the retrieval very difficult and potentially traumatic. 16…”

Section: Potential Challenges Of Using the Avpmentioning

confidence: 99%

The Amplatzer Vascular Plug: Review of Evolution and Current Applications

Lopera

2015

Semin intervent Radiol

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The Amplatzer Vascular Plug (AVP) was created for peripheral embolization as a modification of the family of Amplatz septal occluders used in the treatment of congenital heart malformations. The device has evolved over the years and multiple versions have been launched into the market. Each of the versions of the device has some important modifications in terms of the size of the introducer's system, number of layers, and resultant thrombogenicity. It is very important for the operator to become familiar with the unique features of the AVP, and to understand the advantages and limitations of each model in the AVP family to achieve an optimal embolic result. The purpose of this article is to review the evolution and current clinical applications of the AVP in the field of interventional radiology, with emphasis on the advantages and limitations of this device in comparison with other embolization agents.

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Percutaneous retrieval of an endothelialized AMPLATZER cardiac plug from the abdominal aorta 6 months after embolization

Cited by 5 publications

References 0 publications

Percutaneous left atrial appendage occlusion: Effect of device positioning on outcome

Percutaneous left atrial appendage occlusion: Effect of device positioning on outcome

Late discovery of left atrial appendage occluder device embolization: a case report

The Amplatzer Vascular Plug: Review of Evolution and Current Applications

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