Background: Although rare, embolization of left atrial appendage occlusion (LAAO) devices carries a significant morbidity and mortality burden.
Case Summary: An asymptomatic 77-year-old woman with inability to tolerate anticoagulation due to gastrointestinal bleeding presented for 45-day transesophageal echocardiography following LAAO with a Watchman device, which demonstrated incidental device migration to the left ventricular outflow tract (LVOT). Percutaneous extraction was performed using a novel technique with rat tooth/alligator forceps to successfully retrieve the Watchman from the LVOT using a transaortic approach.
Discussion: LAAO device embolization is a rare, yet serious, complication. Retrieval from the LVOT is typically performed with cardiac surgery to avoid damage to the mitral valve. This case demonstrates that percutaneous Watchman device retrieval from the LVOT is technically challenging but can be safely performed in select cases to decrease the length of hospitalization and morbidity associated with surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jaccas.2024.103186 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Successful Percutaneous Extraction of a WATCHMAN FLX Device From the Left Ventricular Outflow Tract.
JACC Case Rep
January 2025
Division of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. Electronic address:
Background: Although rare, embolization of left atrial appendage occlusion (LAAO) devices carries a significant morbidity and mortality burden.
Case Summary: An asymptomatic 77-year-old woman with inability to tolerate anticoagulation due to gastrointestinal bleeding presented for 45-day transesophageal echocardiography following LAAO with a Watchman device, which demonstrated incidental device migration to the left ventricular outflow tract (LVOT). Percutaneous extraction was performed using a novel technique with rat tooth/alligator forceps to successfully retrieve the Watchman from the LVOT using a transaortic approach.
[Acupuncture regulates dynamic flux of Ca, Na, and HO in skeletal muscle injury induced by eccentric exercise in rats].
Sheng Li Xue Bao
February 2025
College of Life Sciences, Huzhou Normal University, Huzhou 313000, China.
This study aimed to investigate the effects of acupuncture on dynamic changes in Ca, Na, and HO flux following eccentric exercise-induced muscle injury. The total of 324 healthy male Wistar rats were randomly divided into 6 groups: control group (C), eccentric exercise group (E), eccentric exercise with acupuncture group (EA), EA with TRP channel blocker group (EAT), EA with NOX2 blocker group (EAN) and EA with placebo group (EAP). Gastrocnemius muscles were subject to lengthening contractions with percutaneous electrical stimulation, followed by immediate pretreatment with blocking agents.
View Article and Find Full Text PDF30-Day DAPT in Patients at High Bleeding Risk Undergoing PCI With Biodegradable-Polymer Sirolimus-Eluting Ultra-Thin Stent.
Catheter Cardiovasc Interv
March 2025
Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands.
Background: There is limited evidence on the safety and efficacy of biodegradable-polymer sirolimus-eluting ultra-thin stent (BP-SES) in patients at high bleeding risk (HBR) undergoing percutaneous coronary intervention (PCI).
Aims: This study aims to evaluate the clinical outcomes of HBR patients treated with BP-SES and ≤ 30-day dual antiplatelet therapy (DAPT) regimen.
Methods: A systematic review was conducted to identify relevant studies involving HBR patients who underwent PCI with BP-SES (Supraflex Cruz).
Pott's Puffy Tumor Associated with Subperiosteal Empyema and Osteomyelitis in a Pediatric Patient.
Eur J Case Rep Intern Med
February 2025
Department of General Practice, The Medical Centre, Roscommon, Ireland.
Unlabelled: Pott's puffy tumor, a rare complication of frontal sinusitis or trauma, presents with subperiosteal abscess and osteomyelitis of the frontal bone. Early diagnosis with imaging studies and prompt treatment with antibiotics and percutaneous drainage of the abscess requires in most cases for a successful outcome. We report a case of a 12-year-old boy who initially presented with left sided retro-orbital/frontal area headache associated with high grade temperature and painful localized small forehead swelling.
View Article and Find Full Text PDFPercutaneous coronary intervention of chronic total occlusion in patients with prior coronary artery bypass graft: the current situation.
J Invasive Cardiol
March 2025
Department of Cardiology, Kurashiki Central Hospital, Okayama, Japan.
Objectives: The equipment and strategies used for percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) have been improved. However, CTO-PCI for patients with prior coronary artery bypass graft (CABG) remains challenging. This study aimed to compare the strategies and initial success rates of CTO-PCI in patients with and without prior CABG.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!