Horton Crista E, Athas Vincent, Ring David, Abdallah Mohammed
Department of Surgery, Broward Health Medical Center, Fort Lauderdale, FL.
J Vasc Surg Cases Innov Tech. 2023 May 23;9(3):101222. doi: 10.1016/j.jvscit.2023.101222. eCollection 2023 Sep.
Patients with atrial fibrillation with contraindications to anticoagulation can undergo left atrial appendage closure with a device. Hours after a 73-year-old man had undergone left atrial appendage closure, he lost perfusion to his lower extremities. Imaging studies showed that the device had migrated to the infrarenal aorta. After right common femoral artery cutdown and sheath placement, the device was retrieved with a balloon embolectomy catheter, and a balloon was simultaneously deployed in the proximal left common femoral artery to prevent device embolization. To the best of our knowledge, this report represents the first documented device retrieval from the aorta using balloon embolectomy and contralateral lower extremity embolic protection.
有抗凝治疗禁忌证的心房颤动患者可通过装置进行左心耳封堵。一名73岁男性在接受左心耳封堵数小时后，下肢失去灌注。影像学检查显示该装置已迁移至肾下腹主动脉。在切开右股总动脉并置入鞘管后，使用球囊取栓导管取出该装置，同时在左股总动脉近端置入一个球囊以防止装置栓塞。据我们所知，本报告是首次记录使用球囊取栓术及对侧下肢栓子保护从主动脉取出装置的病例。
