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Embolized amplatzer duct occluder to aorta: Retrieval technique.

Muhammad A Khan1, Yahya H Almashham1, Abdul Rahman S Almoukirish1

  • 1Department of Pediatric Cardiology, King Salman Heart Centre, King Fahad Medical City, Riyadh, Saudi Arabia.

Journal of the Saudi Heart Association
|April 8, 2016
PubMed
Summary

A novel retrieval technique was used to successfully remove an Amplatzer duct occluder that embolized to the descending aorta after patent ductus arteriosus closure in a pediatric patient.

Keywords:
Amplatzer duct occludeEmbolizationPatent ductus arteriosusRetrieval

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Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Pediatric Cardiology

Background:

  • Patent ductus arteriosus (PDA) is a common congenital heart defect.
  • Transcatheter device closure is a standard treatment for PDA.
  • Device embolization is a rare but serious complication.

Purpose of the Study:

  • To describe a novel technique for retrieving an embolized Amplatzer duct occluder.
  • To report the successful outcome in a pediatric patient.

Main Methods:

  • A 4-year-old girl underwent transcatheter closure of PDA.
  • The Amplatzer duct occluder embolized to the descending aorta.
  • A novel retrieval technique was employed to extract the device.

Main Results:

  • The retrieval procedure was technically successful.
  • The patient experienced no immediate complications.
  • The patient was discharged in stable condition.

Conclusions:

  • This case demonstrates the feasibility of a novel retrieval technique for embolized duct occluders.
  • Prompt intervention can lead to successful outcomes in managing device embolization.
  • This technique may be valuable in similar complex pediatric cardiac interventions.