Embolization of Patent Foramen Ovale Closure Device—Rare Complication and Unique Management Approach
| Autor: | Mila Kovacevic, Marko Atanaskovic, Katarina Obradovic, Mirko Todic, Branislav Crnomarkovic, Marija Bjelobrk, Snezana Bjelic, Milenko Cankovic, Aleksandra Milovancev, Ilija Srdanovic |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Medicina, Vol 60, Iss 5, p 717 (2024) |
| Druh dokumentu: | article |
| ISSN: | 1648-9144 1010-660X |
| DOI: | 10.3390/medicina60050717 |
| Popis: | Percutaneous closure of the patent foramen ovale (PFO) is generally regarded as a safe and effective procedure, indicated in patients with a prior PFO-associated stroke. While it is highly safe, rarely, it could be accompanied by a migration of the device, mainly caused by the interplay of a specific PFO morphology and inappropriate device sizing. Herein, we outline a seldom-observed complication of an unintentional detachment of the PFO closure device during implantation, leading to its migration into the abdominal aorta, and a unique management approach. Due to the inability to recapture the occluder with a snare, which is considered to be a mainstay of endovascular retrieval methods, two coronary guidewires were maneuvered through the mesh of the occluder and then captured with a snare proximally to the occluder. This innovative dual-wire–snare system was carefully pulled to the common femoral artery, a position deemed suitable for surgical extraction via arteriotomy, which was achieved successfully. |
| Databáze: | Directory of Open Access Journals |
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