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Catheter Cardiovasc Interv ; 103(7): 1152-1155, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38606476

ABSTRACT

The use of left atrial appendage occlusion (LAAO) devices have gained prominence as an alternative to long-term anticoagulation therapy in patients with atrial fibrillation at risk of stroke and high risk of bleeding. While these devices have shown efficacy in reducing stroke risk, there have been reported cases of embolization of the Watchman device. There are very few cases of successful percutaneous retrieval of embolized Watchman devices from the left ventricle (LV), as many of these cases require open heart surgery for safe removal. We are presenting a case of an 80-year-old male whose Watchman device embolized to the LV and was entrapped on the LV papillary muscle that was then successfully retrieved via percutaneous methods, which shows the percutaneous options remain a viable strategy to retrieve LAAO devices from the LV.


Subject(s)
Atrial Fibrillation , Cardiac Catheterization , Device Removal , Foreign-Body Migration , Papillary Muscles , Humans , Male , Aged, 80 and over , Treatment Outcome , Atrial Fibrillation/therapy , Atrial Fibrillation/physiopathology , Atrial Fibrillation/diagnosis , Cardiac Catheterization/instrumentation , Cardiac Catheterization/adverse effects , Foreign-Body Migration/therapy , Foreign-Body Migration/etiology , Foreign-Body Migration/diagnostic imaging , Papillary Muscles/diagnostic imaging , Heart Ventricles/diagnostic imaging , Embolism/etiology , Embolism/diagnostic imaging , Embolism/therapy , Embolism/diagnosis , Atrial Appendage/diagnostic imaging , Atrial Appendage/physiopathology , Echocardiography, Transesophageal
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