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Published on: November 4, 2021
Successful Percutaneous Treatment of an Embolized Patent Ductus Arteriosus Occluder Device
Süleyman Barutçu1, Elnur Alizade2, Selcuk Pala2
11 Cardiology Department, Van Research and Training Hospital, Van, Turkey.
Insights
Transcatheter closure of patent ductus arteriosus can have complications. A case report details successful retrieval of an embolized device using endomyocardial biopsy forceps when standard methods failed.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Transcatheter closure is the primary method for patent ductus arteriosus (PDA).
- Complications can arise during device deployment.
- Device embolization is a rare but serious complication.
Observation:
- A 20-year-old woman underwent percutaneous transcatheter closure of PDA.
- An Amplatzer duct occluder device embolized into the right pulmonary artery.
- Initial attempts to retrieve the device with a gooseneck snare were unsuccessful.
Findings:
- The embolized duct occluder device was successfully captured and removed.
- BiPal bioptome endomyocardial biopsy forceps were utilized for device retrieval.
- This case highlights an alternative method for managing device embolization.
Implications:
- Endomyocardial biopsy forceps offer a viable alternative for retrieving embolized devices in complex cases.
- This technique may improve patient outcomes in challenging interventional procedures.
- Further evaluation of specialized forceps for device retrieval is warranted.
Abstract:
Transcatheter closure has become the leading approach for closure of most instances of patent ductus arteriosus. However, there are some complications associated with this procedure. We report a case involving the embolization of a device in the right pulmonary artery during placement. A 20-year-old woman was referred to our hospital for percutaneous transcatheter closure of patent ductus arteriosus. During the deployment of an Amplatzer duct occluder device, it was disconnected from the connector and became embolized in the lower branch of the right pulmonary artery. We could not grasp the device with a gooseneck snare. After various attempts, the device was captured and removed by a BiPal bioptome endomyocardial biopsy forceps. Based on our findings, we recommend that endomyocardial biopsy forceps should be considered as an alternative when such complications occur.
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