Prevention of Migrating Atrial Septal Occluder in Large Hole Atrial Septal Defect Intervention by Snare

Lam Truong Hoai; Duc Nguyen Hung; Kien Nguyen Trung; Duyen Nguyen Thi

doi:10.7759/cureus.36904

Prevention of Migrating Atrial Septal Occluder in Large Hole Atrial Septal Defect Intervention by Snare

Cureus. 2023 Mar 30;15(3):e36904. doi: 10.7759/cureus.36904. eCollection 2023 Mar.

Authors

Lam Truong Hoai¹, Duc Nguyen Hung², Kien Nguyen Trung³, Duyen Nguyen Thi²

Affiliations

¹ Cardiology, Tâm Anh Hospital, Ha Noi, VNM.
² Cardiology, Tam Anh Hospital, Ha Noi, VNM.
³ Cardiology, Bach Mai Hospital, Ha Noi, VNM.

Abstract

Migrating Amplatzer Septal Occluder (ASO) is a rare complication due to insufficient margins, especially large-hole Atrial Septal Defect (ASD). After deploying, ASO occasionally exposes the low margins, resulting in dislocated devices and embolization. The majority of embolizations happen right away after release. The embolized device must be removed using extended fluoroscopy and occasionally by open heart surgery. The device is released by unscrewing the cable while the snare holds the screw end. On Transesophageal Echocardiography (TEE), the device position is once again validated. If the device is stable, the snare is then removed.

Keywords: amplatzer device; atrial septal defect; deficient margin; device retrieval; embolization; snare..

Publication types

Case Reports