Related Experiment Video
Updated: Oct 26, 2025

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
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.
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.
Abstract:
Left atrial appendage closure device embolization is a rare yet serious complication. The location of the embolized device is a major determinant of the retrieval approach, percutaneous or surgical. This paper presents the case of Watchman device embolization in the left ventricle, which was retrieved percutaneously by using a transarterial approach. (Level of Difficulty: Intermediate.).

