A snare in time--adding a safety mechanism to the Amplatzer Septal Occluder

Delivery cable/attachment of the Amplatzer Septal Occluder holds the device at a suboptimal angle relative to the plane of the atrial septum prior to release A small gooseneck snare tightened on the hub can maintain flexible control of the device after release of the delivery cable This technique can improve safety of delivery in difficult cases if you think ahead.