Percutaneous Retrieval of a Left Atrial Appendage Closure Device: The Device Waltz

Achille Gaspardone; Maria Benedetta Giannico; Roberto Cancellieri; Laura Velardi; Antonio Giuseppe Posteraro; Alessandra Cinque; Maria Iamele

doi:10.1016/j.jaccas.2021.02.034

Percutaneous Retrieval of a Left Atrial Appendage Closure Device: The Device Waltz

JACC Case Rep. 2021 Apr 1;3(5):766-771. doi: 10.1016/j.jaccas.2021.02.034. eCollection 2021 May.

Authors

Achille Gaspardone¹, Maria Benedetta Giannico¹, Roberto Cancellieri¹, Laura Velardi¹, Antonio Giuseppe Posteraro¹, Alessandra Cinque¹, Maria Iamele¹

Affiliation

¹ Division of Cardiology, Sant'Eugenio Hospital, Rome, Italy.

Abstract

Embolization of a device in patients undergoing percutaneous left atrial appendage closure is an uncommon complication. We present an illustrative case of successful percutaneous retrieval of an embolized LAmbre device (Lifetech Scientiﬁc, Shenzhen, China) that was achieved with a combination of a snaring technique and forceps grasping and by using a steerable guiding catheter. (Level of Difficulty: Advanced.).

Keywords: ACT, activated clotting time; AF, atrial fibrillation; LA, left atrium; LAA, left atrial appendage; LAmbre device; TEE, transesophageal echocardiography; complication; device embolization; snaring technique.

Publication types

Case Reports