Percutaneous Retrieval of a Watchman Device from the Left Ventricle Using a Transarterial Approach

Nikolaos Spilias1, Arshneel Kochar1, Jayendrakumar Patel1

  • 1Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

Device embolization after left atrial appendage closure is rare but serious. This case demonstrates successful percutaneous retrieval of an embolized Watchman device from the left ventricle using a transarterial approach.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Left atrial appendage closure is a common procedure for stroke prevention in atrial fibrillation.
  • Device embolization is a known, albeit infrequent, complication.
  • The anatomical location of an embolized device dictates the retrieval strategy.

Observation:

  • A Watchman device embolized into the left ventricle after implantation.
  • The device's position within the left ventricle posed a challenge for retrieval.
  • Standard retrieval techniques may not be universally applicable.

Findings:

  • Successful percutaneous retrieval of the embolized Watchman device was achieved.
  • A transarterial approach was utilized for the retrieval.
  • This case highlights an alternative strategy for managing left ventricular device embolization.

Implications:

  • Percutaneous transarterial retrieval is a feasible option for left ventricular Watchman device embolization.
  • This approach may help avoid more invasive surgical procedures.
  • Further research into optimal retrieval techniques for device embolization is warranted.

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