Embolization of percutaneous left atrial appendage closure devices: Timing, management and clinical outcomes.
Sophie EppingerKerstin PiaydaRoberto GaleaMarcus SandriMoniek MaarseAhmet GünerCan Y KarabayAshish PershadWern Y DingAdel AminianIbrahim AkinKarapet V DavtyanIvan A ChugunovEloi MarijonLiesbeth RosseelThomas Robert SchmidtNicolas AmabileKasper KorsholmJuha LundEnio GueriosIgnacio J Amat-SantosGiacomo BoccuzziChristopher R EllisAvi SabbagHenning EbeltBrian ClappHana Vaknin AssaAmos LeviJakob LedwochSonja LehmannOh-Hyun LeeGeorge MarkWendy SchellDomenico G Della RoccaAndrea NataleOle de BackerJoelle KeferPablo P EstebanMark AbelsonPradhum RamPamela MoceriJose G Galache OsunaXavier Millán AlvarezIgnacio Cruz-GonzalezTom de PotterMoubarak GhassanAndrey OsadchiyWeita ChenSandeep K GoyalFrancesco GianniniMáximo Rivero-AyerzaShazia AfzalChristian JungCarsten SkurkMartin LangelMark SpenceEvgeny MerkulovMathieu LempereurSeung Y ShinJules MesnierHeather L McKinneyBrian T SchulerSebastien ArmeroLivia GheorgheMarco B M AnconaLino SantosJacques MansouratiLuis Nombela-FrancoFrancesco NappiMichael KühneAchille GaspardoneJesper van der PalsMatteo MontorfanoJuan Fernández-ArmentaJames E HarveyJosep Rodés-CabauNorbert KleinSajjad A SabirJung-Sun KimStephane CookRan KornowskiAntti SarasteJens E Nielsen-KudskDhiraj GuptaLucas BoersmaLorenz RäberKolja SievertHorst SievertStefan BertogPublished in: Cardiovascular revascularization medicine : including molecular interventions (2024)
This dedicated multicenter registry examined timing, management, and clinical outcome of device embolization. Early embolization (70.4 %) was most frequent. As a first rescue attempt, percutaneous retrieval was preferred in 75.0 %, followed by surgical removal (21.3 %). In patients with a second retrieval attempt a higher mortality (death first attempt: 2.9 % vs. death second attempt: 24.1 %, p < 0.001) was observed. Mortality (10.2 %) and the major complication rate after device embolization were high.