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经皮 Watchman 装置取出术后并发症

Surgical Removal of a Migrated WATCHMAN Device.

机构信息

Mayo Clinic, Phoenix, Arizona, US.

出版信息

Methodist Debakey Cardiovasc J. 2024 Sep 2;20(1):80-86. doi: 10.14797/mdcvj.1414. eCollection 2024.

DOI:10.14797/mdcvj.1414
PMID:39247626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11378705/
Abstract

The WATCHMAN™ atrial appendage closure device is designed to reduce the risk of stroke in patients with nonvalvular atrial fibrillation who are not suitable candidates for long-term oral anticoagulation therapy. However, the device also carries small risks, including procedural complications such as device migration, embolization, or pericardial effusion. We describe a case of WATCHMAN device migration requiring surgical retrieval.

摘要

WATCHMAN™ 心房瓣闭合装置旨在降低不适合长期口服抗凝治疗的非瓣膜性心房颤动患者发生中风的风险。然而，该装置也存在一定的风险，包括手术并发症，如装置移位、栓塞或心包积液。我们描述了一例需要手术取出的 WATCHMAN 装置移位病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/cf120ac85c4d/mdcvj-20-1-1414-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/c8b9d5d0071e/mdcvj-20-1-1414-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/8dc3e32f3a75/mdcvj-20-1-1414-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/ba1a38759721/mdcvj-20-1-1414-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/cf120ac85c4d/mdcvj-20-1-1414-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/c8b9d5d0071e/mdcvj-20-1-1414-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/8dc3e32f3a75/mdcvj-20-1-1414-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/ba1a38759721/mdcvj-20-1-1414-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5154/11378705/cf120ac85c4d/mdcvj-20-1-1414-g4.jpg

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Surgical Removal of a Migrated WATCHMAN Device.经皮 Watchman 装置取出术后并发症
Methodist Debakey Cardiovasc J. 2024 Sep 2;20(1):80-86. doi: 10.14797/mdcvj.1414. eCollection 2024.
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引用本文的文献

1
Left atrial appendage occlusion in atrial fibrillation: shaping the future of stroke prevention.心房颤动中的左心耳封堵：塑造卒中预防的未来。
Future Cardiol. 2025 May;21(6):391-404. doi: 10.1080/14796678.2025.2484964. Epub 2025 Mar 26.

本文引用的文献

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Who watches the WATCHMAN? A rare case of lower extremity paralysis.谁在观察“守护人”？一例罕见的下肢麻痹病例。
J Am Coll Emerg Physicians Open. 2023 Oct 7;4(5):e13052. doi: 10.1002/emp2.13052. eCollection 2023 Oct.
2
Delayed embolization of next-generation left atrial appendage closure device in an asymptomatic patient.无症状患者中新一代左心耳封堵装置的延迟栓塞
HeartRhythm Case Rep. 2023 May 31;9(9):598-601. doi: 10.1016/j.hrcr.2023.05.014. eCollection 2023 Sep.
3
Early and late Watchman device migration and embolization: Insights from the NCDR LAAO registry.
早期和晚期Watchman装置移位与栓塞：来自国家心血管数据注册库左心耳封堵注册研究的见解
J Cardiovasc Electrophysiol. 2023 Jun;34(6):1499-1501. doi: 10.1111/jce.15942. Epub 2023 May 26.
4
Case Report: WATCHMAN Procedure Complicated By Atrial Perforation and Device Dislodgement.病例报告：经皮左心耳封堵术并发心房穿孔及装置移位
Cardiovasc Revasc Med. 2023 Aug;53S:S188-S190. doi: 10.1016/j.carrev.2022.05.009. Epub 2022 May 14.
5
Dislodged Watchman Device Retrieved Using Double Transseptal Sheaths Technique and Reinstalled with LAmbre Device.采用双经房间隔鞘管技术取出移位的Watchman封堵器并重新植入LAmbre封堵器。
Anatol J Cardiol. 2022 May;26(5):407-410. doi: 10.5152/AnatolJCardiol.2021.809.
6
Watchman Device Dislodgement Creating a Left Ventricular Outflow Tract Obstruction Requiring Emergency Cardiopulmonary Bypass.Watchman装置移位导致左心室流出道梗阻，需紧急体外循环。
Case Rep Anesthesiol. 2022 Feb 23;2022:3215334. doi: 10.1155/2022/3215334. eCollection 2022.
7
A Simple Percutaneous Retrieval Technique for an Embolized Watchman Left Atrial Appendage Closure Device in the Thoracic Aorta Using a Homemade Snare.一种使用自制圈套经皮取出胸主动脉内 Watchman 左心耳封堵装置的简单技术。
Int Heart J. 2021 Sep 30;62(5):1153-1155. doi: 10.1536/ihj.20-790. Epub 2021 Sep 17.
8
Percutaneous Extraction of a Migrated WATCHMAN™ Device After Seven Months.七个月后经皮取出移位的WATCHMAN™装置
J Innov Card Rhythm Manag. 2021 Jul 15;12(7):4572-4574. doi: 10.19102/icrm.2021.120701. eCollection 2021 Jul.
9
Aortic Extraction of a Migrated Watchman® Device.迁移的Watchman®装置的主动脉取出术。
Cir Esp (Engl Ed). 2021 Mar;99(3):243-245. doi: 10.1016/j.ciresp.2020.02.012. Epub 2020 Nov 6.
10
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J Cardiovasc Electrophysiol. 2021 Jan;32(1):83-92. doi: 10.1111/jce.14804. Epub 2020 Nov 11.