Late Hybrid Retrieval of a Embolized Left Atrial Appendage Occlusion Device

Key Result

Hybrid percutaneous-surgical retrieval via an infrarenal aortotomy offers a safe bailout avoiding sternotomy for embolized LAAO devices when full percutaneous extraction is not achievable.

Key Points

• To address the challenges in removing embolized left atrial appendage occlusion devices that may develop tissue ingrowth.
• Utilized hybrid percutaneous-surgical retrieval technique.
• Conducted retrieval via infrarenal aortotomy when extraction was not fully achievable.
• Evaluated technical feasibility and safety of the approach.
• Successful retrieval of embolized devices using the hybrid method.
• Avoidance of sternotomy associated complications during retrieval.