Management of device embolization following left atrial appendage closure: Two cases and a review of the literature

IF 1.7 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Arrhythmia Pub Date : 2025-08-01 DOI:10.1002/joa3.70139

Ahmet Kivrak MD, Ahmet Hakan Ates MD, Ugur Canpolat MD, Mert Dogan MD, Cem Coteli MD, Hikmet Yorgun MD, Mehmet Levent Sahiner MD, Ergun Barıs Kaya MD, Kudret Aytemir MD

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Abstract

Objectives

Device embolization (DE) following left atrial appendage closure (LAAC) is a severe but uncommon complication, and limited data address optimal management strategies for this condition. This review presents two cases of device embolization (DE) following LAAC and discusses risk factors, incidence, and management strategies through a literature-based approach.

Methods

A comprehensive literature review was conducted, including studies focused on DE after LAAC, examining percutaneous and surgical retrieval techniques, procedural success, and patient outcomes.

Results and Conclusion

DE incidence ranges from 0.6% to 1.5%, with improper device sizing and anatomical factors as primary risk factors. Percutaneous retrieval, through transseptal or transarterial approaches, demonstrates high procedural success rates, while surgical retrieval remains an option for complex cases. Our review suggests that with experienced operators, tailored percutaneous strategies effectively manage DE following LAAC.

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左心耳关闭后器械栓塞的处理：2例及文献回顾

目的左心耳闭合术（LAAC）后器械栓塞（DE）是一种严重但罕见的并发症，有限的数据表明该疾病的最佳治疗策略。本文回顾了LAAC术后器械栓塞（DE）的两个病例，并通过文献分析的方法讨论了危险因素、发生率和管理策略。方法进行全面的文献综述，包括LAAC术后DE的研究，检查经皮和手术回收技术，手术成功率和患者预后。结果与结论DE发生率为0.6% ~ 1.5%，器械尺寸不当和解剖因素为主要危险因素。经隔或经动脉入路的经皮回收显示出较高的手术成功率，而手术回收仍然是复杂病例的一种选择。我们的回顾表明，有经验的操作者，量身定制的经皮策略可以有效地管理LAAC后的DE。

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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