Percutaneous Retrieval of an Amplatzer Septal Occluder Device that had migrated to the Aortic Arch

Successful Percutaneous Retrieval of Embolized Septal Occluder Device from Aortic Arch and Placement of a Newer Septal Occluder Device in Combined Procedure

“…In our case, we believe that undersizing was the possible mechanism, which in turn was probably due to noncircular shape of the defect. In previous case reports, Gooseneck type of snare system was used [4–6], whereas we are able to retrieve the device using the En-Snare System, showing that there are various options in choosing the retrieval system, although merits of one system over the others are unclear. According to a survey of the ASO company-designated proctors, approximately half of the patients had percutaneous closure of the ASD after the embolized device retrieval, but it is not reported whether they were done as a combined procedure or at a later date [7].…”

Percutaneous Retrieval and Redeployment of an Atrial Septal Occluder under Three-Dimensional Transesophageal Echocardiographic Guidance: A Case Report

“…Once it is migrated, adjusting the device into a safe position to prevent further embolization is the first key step. It can be achieved by supporting with some devices including stiff wire or bioptome for stabilization and snare loop, tulip shaped snare, basket or alligator clamps to grab the device (4, 7, 8). When this step is failed or not suitable, an emergency surgical correction should be considered.…”

Intravascular Foreign Bodies: What the Radiologist Needs to Know

“…Most commonly IFBs are embolized central line fragments; guide wires, catheter fragments, embolization coils, inferior vena cava filters, coils, cardiac valve fragments, sheaths, pacing wires, occluder devices have also been described [21][22][23][24][25].…”

“…When the snare holds the IFB, this one could lie perpendicularly: if it is a floppy one, no problem occurs because it folds into half [8]; however, in case of a stiff one, a risk of damage or vessel perforation could happen. Thus, it is better to grasp the IFB at one end; its natural motion will help to keep the body aligned with the axis of the vessel [24]. Even when the vessel is prepared, recovery may be difficult.…”