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Retrieval of Embolized WATCHMAN® Flex Atrial Appendage Occlusion Device.
Chugh, Priyanka V; Danford, Julia; Farber, Alik; Ayalon, Nir; Verma, Ashish; Helm, Robert H; Monahan, Kevin M; Kalish, Jeffrey A.
Afiliación
  • Chugh PV; Department of Surgery, Division of Vascular and Endovascular Surgery, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
  • Danford J; Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
  • Farber A; Department of Surgery, Division of Vascular and Endovascular Surgery, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
  • Ayalon N; Evans Department of Medicine, Cardiovascular Medicine Section, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
  • Verma A; Evans Department of Medicine, Renal Section, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
  • Helm RH; Evans Department of Medicine, Cardiovascular Medicine Section, Arrhythmia Service, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
  • Monahan KM; Evans Department of Medicine, Cardiovascular Medicine Section, Arrhythmia Service, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
  • Kalish JA; Department of Surgery, Division of Vascular and Endovascular Surgery, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
Vasc Endovascular Surg ; 58(7): 752-756, 2024 Oct.
Article en En | MEDLINE | ID: mdl-38747057
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Migración de Cuerpo Extraño / Apéndice Atrial / Remoción de Dispositivos Límite: Aged / Humans / Male Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Migración de Cuerpo Extraño / Apéndice Atrial / Remoción de Dispositivos Límite: Aged / Humans / Male Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos