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当日病例:在Amplatzer心脏封堵器左心耳封堵器延迟栓塞后取出介入装置

Catch of the day: interventional device retrieval after late embolization of an Amplatzer cardiac plug left atrial appendage occluder.

作者信息

Tiyerili Vedat, Nickenig Georg, Hammerstingl Christoph

机构信息

Department of Medicine II, Heart Centre Bonn, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Germany.

出版信息

Clin Res Cardiol. 2015 Dec;104(12):1106-8. doi: 10.1007/s00392-015-0887-3. Epub 2015 Jul 22.

Abstract

Transcatheter left atrial appendage (LAA) closure has proven to be an effective method to reduce the risk of thromboembolic events in patients who have nonvalvular atrial fibrillation (AF) that is unsuitable for chronic oral anticoagulation. In this case report, we describe the rare case of a late LAA occluder (28-mm Amplatzer cardiac plug) embolization, which was treated uneventfully with interventional device capture. Special interventional and device specific characteristics must be taken into account when planning such a complex procedure as described in our case.

摘要

经导管左心耳(LAA)封堵术已被证明是一种有效的方法,可降低不适合长期口服抗凝治疗的非瓣膜性心房颤动(AF)患者发生血栓栓塞事件的风险。在本病例报告中,我们描述了一例罕见的晚期LAA封堵器(28毫米Amplatzer心脏封堵器)栓塞病例,该病例通过介入器械捕获得到了顺利治疗。在规划我们病例中所描述的如此复杂的手术时,必须考虑特殊的介入和器械特定特征。

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