Surgical Rescue of Embolized Amplatzer Devices

Surgical Rescue of Embolized Amplatzer Devices

Background and Aim: Transcatheter closure of atrial septal defect (ASD) and patent ductus arteriosus (PDA) with Amplatzer septal/duct occluder (ASO/ADO) is an established, safe, and efficient procedure with high success. However, device embolization remains a major complication requiring immediate i...

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Bibliographic Details
Published in:Journal of cardiac surgery Vol. 26; no. 3; pp. 254 - 258
Main Authors: Amanullah, Muneer M., Siddiqui, Maria T., Khan, Mubashir Z., Atiq, Mehnaz A.
Format: Journal Article
Language:English
Published: Malden, USA Blackwell Publishing Inc 01-05-2011
Subjects:
Adolescent
Angiography
Cardiac Catheterization - methods
Child, Preschool
Device Removal - methods
Ductus Arteriosus, Patent - surgery
Echocardiography
Embolism - diagnosis
Embolism - etiology
Embolism - surgery
Female
Follow-Up Studies
Heart Septal Defects, Atrial - surgery
Humans
Infant
Male
Middle Aged
Prosthesis Failure
Reoperation - methods
Septal Occluder Device - adverse effects
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Summary:Background and Aim: Transcatheter closure of atrial septal defect (ASD) and patent ductus arteriosus (PDA) with Amplatzer septal/duct occluder (ASO/ADO) is an established, safe, and efficient procedure with high success. However, device embolization remains a major complication requiring immediate intervention (either percutaneous or surgical) for retrieval and correction of the heart defect. The aim of this study is to share the experience of managing embolized ASO/ADO. Methods: Of the 284 cases of device closure performed from October 2002 to December 2010, four patients (1.4%) had device embolization requiring immediate surgical retrieval. Two adult female patients with secundum ASD had ASO device implanted. One embolized to the right ventricle and the other into the ascending aorta. An eight‐month‐old boy and a four‐year‐old girl with hypertensive PDA had device closure. Device embolization occurred into the descending aorta and right pulmonary artery, respectively. Results: All four devices were retrieved and the defects closed successfully with a low morbidity and no mortality. Conclusion: Careful consideration should be given to surgical or transcatheter closure of a heart defect. Life‐threatening complications although rare can occur. Our experience strongly suggests that these devices should only be inserted in facilities where cardiac surgical support is immediately available. (J Card Surg 2011;26:254‐258)
Bibliography:istex:862523A9577294CF44D0A396886D5A6C69C2DFC3
ark:/67375/WNG-M8FRKMWZ-2
ArticleID:JOCS1249
Disclosure
There is no conflict of interest or any association with any company.
Institutional policy does not require Ethical Review committees approval for case reports.
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0886-0440
1540-8191
DOI:10.1111/j.1540-8191.2011.01249.x