Delayed dislodgment of a watchman device: A rare complication manifesting as a transient ischemic event. (9th June 2020)

• Record Type: Journal Article
• Authors: Moradi, Nami; Tosonian, Shawnt; Askari, Anna; Sontz, Eric M.
• Is Part Of: Journal of cardiovascular electrophysiology. Volume 31:Number 7(2020)
• Page Start: 1848
• Page End: 1850
• Publication Date: 2020-06-09
• Subjects: atrial fibrillation -- device dislodgment -- device embolization -- transient ischemic attack -- watchman device; Blood vessels -- Physiology -- Periodicals; Electrophysiology -- Periodicals; Heart -- Physiology -- Periodicals; 612.1
• DOI: 10.1111/jce.14591
• Languages: English
• ISSNs: 1045-3873

Abstract

Abstract: The role of left atrial appendage occlusion devices for stroke prevention in nonvalvular atrial fibrillation (AF) continues to expand. Device embolization is a rare but potentially catastrophic complication with variable clinical presentations. Here, we present a case of delayed dislodgment of a watchman device discovered on routine echocardiographic follow‐up in a patient who later admitted to neurological symptoms. Urgent surgical device retrieval was performed with no further complications or neurological sequelae.