Amplatzer Amulet Left Atrial Appendage Occluder Entrapment Through Mitral Valve

Section: Resultsmentioning

confidence: 99%

“…Finally, a total of 20 studies reporting 31 cases of device embolization were identified including 2 multi‐center randomized trials, 4 multi‐center registries, 6 single‐center registries and 9 case reports. There were 13 reported cases with WM and 18 cases with ACP . Studies reporting embolization of WM and ACP are summarized in Table .…”

Section: Resultsmentioning

confidence: 99%

Embolization of left atrial appendage closure devices: A systematic review of cases reported with the watchman device and the amplatzer cardiac plug

Aminian

Lalmand

Tzikas

et al. 2015

“…Device dislodgement in association with embolization is a rare complication of LAA occlusion procedures . In most reported cases, the exact cause of device dislodgement is not mentioned.…”

Section: Discussionmentioning

confidence: 99%

“…When the device was dislodged and entrapped in the mitral valve apparatus or embolized to the left ventricular outflow tract, surgical retrieval would be very likely required . In contrast, percutaneous retrieval could usually be successful when the dislodged device remains in the LA.…”

Section: Discussionmentioning

confidence: 99%

“…The occurrence varies from 0 to 5.4% and in most larger series, the prevalence remains low (<2%) . Despite its uncommon occurrence, it is of utmost importance to avoid this potential complication since majority of the patients required surgical retrieval . There is a scarcity of literature in reporting the technique of percutaneous retrieval of dislodged LAA occlusion device.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Successful percutaneous retrieval of a dislodged left atrial appendage occlusion device with double transseptal sheaths and biopsy bioptome

Chan¹,

Choy²,

Lau³

2014

A 64-year-old woman underwent left atrial appendage occlusion with an Amplatzer Cardiac Plug device. Displacement of the device was detected on day 1 with transesophageal echocardiographic checking. The device became dislodged and flitted in the left atrium after unsuccessful retrieval with a snare and 12 Fr steerable transseptal sheath. A double transseptal sheath technique was then attempted. The flitting device was stabilized by one 12 Fr steerable transseptal sheath and successfully retrieved with a biopsy bioptome through another similar transseptal sheath. The patient suffered from no long-term sequelae.

Asymptomatic migration of an AMPLATZER™ Amulet™ left atrial appendage occluder through the mitral valve

Mester

Dompnier

Belle

2016

An 84-year-old woman with a history of hemorrhagic stroke was admitted for a new cerebral ischemic event. While in hospital, she was diagnosed with paroxysmal atrial fibrillation. Owing to her high thromboembolic risk (CHA DS -VASc score of 6) we performed left atrial appendage (LAA) closure using a 22-mm AMPLATZER™ Amulet™. The procedure was successful. Systematic follow-up with transthoracic echocardiography 8 hr later revealed that the LAA occluder had migrated and become entrapped in the mitral subvalvular apparatus. At this time, the patient was asymptomatic. The device was recovered percutaneously using a loop-snare catheter, with no further complications. © 2016 Wiley Periodicals, Inc.