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Percutaneous Retrieval of Dislodged Left Atrial Appendage Occlusion Devices through the Transseptal Approach
Authors:SANG YEUB LEE M.D.  JIN‐SEOK KIM M.D.  SEUNG YONG SHIN M.D.  HONG EUY LIM M.D.   Ph.D.
Affiliation:1. Regional Cardiovascular Disease Center, Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea;2. Division of Cardiology, Cardiovascular Center, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea;3. Division of Cardiology, Heart Research Institute, College of Medicine, Chung‐Ang University, Seoul, Korea
Abstract:Percutaneous left atrial appendage (LAA) occlusion is a promising treatment option in patients with atrial fibrillation who have a high risk of embolic stroke and are not eligible for chronic oral anticoagulation therapy. This procedure, however, can induce several complications. Device embolization can result in a serious situation, requiring immediate and safe device removal. We report two cases in which dislodged LAA occlusion devices were flitting in the left atrium or entrapped in the mitral valve leaflets and were successfully retrieved through a transseptal approach without complications.
Keywords:atrial fibrillation  embolism  percutaneous left atrial appendage occlusion  percutaneous retrieval
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