Removal of a third-generation left atrial appendage occlusion device from the pararenal aorta using a novel

Chase Green1, Snehita Bonthu2, Timothy C Oskin2,3

  • 1University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, TX.

Left atrial appendage occluder devices (LAAODs) offer stroke prevention in patients with atrial fibrillation who have bleeding complications or contraindications to oral anticoagulation. We present a case of successful endovascular removal of a third-generation LAAOD embolized to the pararenal aorta. The patient presented asymptomatically after unrelated imaging demonstrated the LAAOD near the lumbar spine. The LAAOD was removed using a laparoscopic biopsy grasper via a percutaneous right femoral approach, thus avoiding a more complicated open procedure.

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