Retrieval of Embolized WATCHMAN® Flex Atrial Appendage Occlusion Device.

Vascular and endovascular surgery Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI:10.1177/15385744241251657
Priyanka V Chugh, Julia Danford, Alik Farber, Nir Ayalon, Ashish Verma, Robert H Helm, Kevin M Monahan, Jeffrey A Kalish
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引用次数: 0

Abstract

This case report documents the management of a 66-year old man with atrial fibrillation with recent placement of a WATCHMAN® Flex atrial appendage occlusion device. The patient presented with renal failure, abdominal pain, and difficulty walking 2 months after placement. The WATCHMAN® Flex device was found to have embolized to his abdominal aorta at the level of the renal arteries with associated thrombus. Extensive workup revealed reduced left ventricular cardiac function and decreased renal function, both of which were felt to be potentially reversible with device removal. The patient then underwent retrieval of the device and all associated thrombus via an open retroperitoneal approach. This case demonstrates a potential consequence of implanting devices such as an atrial appendage occlusion device and describes a technique for removal.

取回栓塞的 WATCHMAN® Flex 心房阑尾闭塞装置。
本病例报告记录了一名 66 岁男性心房颤动患者最近安置 WATCHMAN® Flex 心房阑尾闭塞器后的治疗情况。患者在置入装置 2 个月后出现肾衰竭、腹痛和行走困难。经检查发现,WATCHMAN® Flex 装置栓塞到肾动脉水平的腹主动脉,并伴有血栓。广泛的检查结果显示左心室心功能减退,肾功能减退,而取出装置后这两种情况都有可能逆转。随后,患者通过腹膜后开放入路取出了装置和所有相关血栓。本病例展示了植入心房阑尾闭塞器等装置的潜在后果,并介绍了一种取出装置的技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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