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Case Reports
. 2012;39(5):653-6.

Transcatheter retrieval of embolized AMPLATZER Septal Occluder

Pravin K Goel  1 , Aditya Kapoor, Aditya Batra, Roopali Khanna
Affiliations
Case Reports

Transcatheter retrieval of embolized AMPLATZER Septal Occluder

Pravin K Goel et al. Tex Heart Inst J. 2012.

Abstract

In selected patients, transcatheter closure of atrial septal defects with the AMPLATZER Septal Occluder has yielded excellent results. However, there is a slight risk of device embolization after deployment. We report the case of a 26-year-old woman in whom an embolized AMPLATZER device was retrieved percutaneously from the right pulmonary artery. We also discuss important technical principles for managing this uncommon but potentially severe complication.

Keywords: Device removal/methods; embolization, therapeutic/instrumentation; heart catheterization/instrumentation; heart septal defects, atrial/ultrasonography; patient selection; prostheses and implants; prosthesis implantation/adverse effects; septal occluder device/adverse effects; treatment outcome.

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Figures

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Fig. 1 Fluoroscopy shows A) the left atrial disc seated somewhat obliquely across the intra-atrial septum, and B) embolization of the occluder to the proximal right pulmonary artery.
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Fig. 2 Fluoroscopy shows A) successful snaring of the screw on the right atrial disc and B) subsequent slenderization of the right atrial disc and retrieval of the entire device into the long sheath. Real-time motion images are available at www.texasheart.org/journal.
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Fig. 3 Fluoroscopy shows final successful placement of the atrial septal occluder.
See this image and copyright information in PMC

References

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Supplementary concepts