Endovascular Retrieval of an Embolized Atrial Septal Occluder Device From the Abdominal Aorta. (November 2018)

• Record Type: Journal Article
• Authors: Crawford, Daniel A.; Naidu, Sailen G.; Shah, Adil A.; Davila, Victor J.; Stone, William M.
• Is Part Of: Vascular & endovascular surgery. Volume 52:Number 8(2018)
• Page Start: 669
• Page End: 673
• Publication Date: 2018-11
• Subjects: endovascular procedures -- septal occluder device/adverse effects -- foreign body migration/diagnosis -- foreign body migration/etiology -- foreign body migration/surgery -- device removal; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574418790393
• Languages: English
• ISSNs: 1538-5744

Abstract

Patent foramen ovale (PFO) is a common heart condition in adults. Closure with a septal occluder device is a safe, well-established treatment option with excellent clinical outcomes. One rare complication of percutaneous PFO closure is embolization of the device to the heart chambers or distal vasculature. Most device migrations are recognized during or shortly after implantation. While many endovascular retrievals of migrated devices are successful, there are still a high percentage of surgical interventions performed. We report a case of a septal occluder device that embolized to the abdominal aorta and was discovered 7 days after implantation. Endovascular techniques with a snare and endobronchial forceps were used to retrieve the device safely.