Left Atrial Appendage (LAA) Closure – device disengagement as a serious complication and how it can be easily removed

Burgazli, Kamil Mehmet; Erdoğan, Ali; Chasan, Ridvan; Kavukçu, Ethem; Soydan, Nedim

doi:10.5152/balkanmedj.2012.041

Cited by 2 publications

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References 4 publications

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“…[4][5][6] A variety of LAA occluding devices are currently available. [7][8][9] Dislocations of septal occluders, 10 Watchman ® , or AMULET ® devices has been previously reported in various frequencies, 1-3 and in most of those cases required percutaneous 1,11 or surgical removal. 12 Our case was unique not only because it is the first reported case of WaveCrest ® dislodgement but also because the successful transcatheter removal was achieved by an innovative "balloon technique."…”

Section: Discussionmentioning

confidence: 99%

Technical aspects of a successful transvascular retrieval of an acutely dislodged WaveCrest® left atrial appendage occluder

Okamoto

Neuß

Krimnitz

et al. 2019

Cathet Cardio Intervent

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Percutaneous left atrial appendage (LAA) closure is an alternative therapy in patients with atrial fibrillation who are not suitable for anticoagulation. However, device embolization is one of the notable complications which inevitably requires catheter or surgical retrieval. In addition to previously reported Watchman® or AMULET® occluder embolization, here we report the first case of a WaveCrest® occluder dislodgement which was successfully removed by transcatheter technique. Instead of using the well‐known snaring technique, we used a “wiring and ballooning technique” for retrieval. Considering its specific architecture without having hooks or feet where suitable for grasping, this technique is an option for retrieving WaveCrest® devices.

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