Chonnam Med J.  2015 Aug;51(2):106-108. 10.4068/cmj.2015.51.2.106.

Percutaneous Forceps Retrieval of an Embolized Amplatzer Duct Occluder

• Kim YS
• Lee SR

• KMID: 2172140
• DOI: http://doi.org/10.4068/cmj.2015.51.2.106

Abstract

Transcatheter closure of patent ductus arteriosus with the Amplatzer duct occluder shows excellent results. However, there is a risk of device embolization after deployment. We report the case of a 33-year-old man in whom an embolized Amplatzer device was retrieved from the right pulmonary artery by a percutaneous method. We also review this uncommon severe complication and offer technical tips for percutaneous removal.

Keyword

Ductus arteriosus; Patent; Septal occluder device

MeSH Terms

Adult
Ductus Arteriosus
Ductus Arteriosus, Patent
Humans
Pulmonary Artery
Septal Occluder Device
Surgical Instruments*

Figure

• 

  FIG. 1 Cardiac computed tomography showing patent ductus arteriosus (arrow). The diameter and length of the patent ductus arteriosus were 4 mm and 6 mm, respectively.

• 

  FIG. 2 (A) Angiogram showing an embolized Amplatzer duct occluder (arrow) at the branch of the right pulmonary artery. (B) The floating embolized device (arrow) was caught by use of endomyocardial biopsy forceps after stabilization by balloon inflation. (C) The entirely removed Amplatzer duct occluder. (D) After implantation of another device, the cardiac computed tomography angiogram showed good results.

Reference

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