Case Report: Successful retrieval of a migrated left atrial appendage occluder through the synergistic use of a guidewire and a gooseneck snare.

病例报告 ： 通过协同使用导丝和鹅颈圈套器 ， 成功取回了迁移的左心耳封堵器。

• 影响指数: 5.846
• 发表时间: 2024
• 来源期刊: Front Cardiovasc Med
• DOI: 10.3389/fcvm.2024.1364376
• PMID: 38903969
• 文章类型: Case Reports
• 作者列表: Bao Y,Yi H,Ma J,Han H

关键词: LACbes device; atrial fibrillation; cardiac surgery; embolization; left atrial appendage occluder

Abstract

Left atrial appendage occluder (LAAO) dislodgement with embolization is a rare occurrence. If the LAAO migrates into the left atrium or ventricle, it can lead to acute heart failure or even death in a person, necessitating urgent surgical intervention. Currently, most cases of LAAO dislodgement are managed through open-heart surgery, while percutaneous retrieval of the LAAO has been reported only in a few cases with limited associated experience. This article reports a case of a patient in whom a migrated LACbes device was successfully retrieved using a catheter-based approach, demonstrating an innovative and minimally invasive treatment strategy.

摘要

左心耳封堵器（LAAO）移位并栓塞是罕见的。如果LAAO迁移到左心房或心室，它会导致急性心力衰竭甚至死亡，需要紧急手术干预。目前,大多数LAAO移位病例是通过心脏直视手术治疗的，而仅在少数相关经验有限的病例中报道了LAAO的经皮取回。本文报告了一例患者，其中使用基于导管的方法成功取回了迁移的LACbes装置。展示创新和微创治疗策略。