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Device Embolization in Structural Heart Interventions: Incidence, Outcomes, and Retrieval Techniques.

Mohamad Alkhouli1, Horst Sievert2, Charanjit S Rihal3

  • 1Division of Cardiology, West Virginia University, Morgantown, West Virginia.

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PubMed
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Device embolization is a rare but serious complication of transcatheter structural heart interventions. Prompt recognition and management using specialized tools are crucial for interventionalists to ensure patient safety.

Keywords:
device embolizationoccluderssnarestructural heart interventionstranscatheter heart valve

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Area of Science:

  • Cardiovascular Interventions
  • Medical Device Technology

Background:

  • Device embolization is an infrequent complication during transcatheter structural heart interventions.
  • While often manageable electively, some cases present as life-threatening emergencies requiring immediate action.

Purpose of the Study:

  • To review the incidence and outcomes of device embolization in common structural heart interventions.
  • To outline the essential components of the percutaneous retrieval toolbox.
  • To propose a systematic approach for managing device embolization.

Main Methods:

  • Literature review of device embolization during transcatheter structural heart interventions.
  • Overview of current retrieval tools and techniques.
  • Development of a management algorithm.

Main Results:

  • Device embolization, though rare, necessitates awareness and preparedness.
  • A comprehensive "percutaneous retrieval toolbox" is vital for interventionalists.
  • A systematic approach can guide effective management.

Conclusions:

  • Interventionalists must be aware of device embolization risks and possess knowledge of retrieval strategies.
  • Effective management relies on understanding incidence, outcomes, and available tools.
  • A structured algorithm aids in timely and appropriate intervention for device embolization.