Prevention of Migrating Atrial Septal Occluder in Large Hole Atrial Septal Defect Intervention by Snare

Migrating Amplatzer Septal Occluder (ASO) is a rare complication due to insufficient margins, especially large-hole Atrial Septal Defect (ASD). After deploying, ASO occasionally exposes the low margins, resulting in dislocated devices and embolization. The majority of embolizations happen right away...

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Detalles Bibliográficos
Autores principales: Truong Hoai, Lam, Nguyen Hung, Duc, Nguyen Trung, Kien, Nguyen Thi, Duyen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066060/
https://www.ncbi.nlm.nih.gov/pubmed/37012947
http://dx.doi.org/10.7759/cureus.36904
Descripción
Sumario:Migrating Amplatzer Septal Occluder (ASO) is a rare complication due to insufficient margins, especially large-hole Atrial Septal Defect (ASD). After deploying, ASO occasionally exposes the low margins, resulting in dislocated devices and embolization. The majority of embolizations happen right away after release. The embolized device must be removed using extended fluoroscopy and occasionally by open heart surgery. The device is released by unscrewing the cable while the snare holds the screw end. On Transesophageal Echocardiography (TEE), the device position is once again validated. If the device is stable, the snare is then removed.

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