Embolization of Patent Foramen Ovale Closure Device-Rare Complication and Unique Management Approach

被引：0

作者：

Kovacevic, Mila ^{[1
,2
]}

Atanaskovic, Marko ^{[1
]}

Obradovic, Katarina ^{[1
]}

Todic, Mirko ^{[1
,2
]}

Crnomarkovic, Branislav ^{[1
,2
]}

Bjelobrk, Marija ^{[1
,2
]}

Bjelic, Snezana ^{[2
]}

Cankovic, Milenko ^{[1
,2
]}

Milovancev, Aleksandra ^{[1
,2
]}

Srdanovic, Ilija ^{[1
,2
]}

机构：

[1] Univ Novi Sad, Fac Med, Novi Sad 21000, Serbia

[2] Inst Cardiovasc Dis Vojvodina, Sremska Kamenica 21204, Serbia

来源：

MEDICINA-LITHUANIA | 2024年 / 60卷 / 05期

关键词：

patent foramen ovale; closure device; embolization; complication; interventional management; RETRIEVAL;

D O I：

10.3390/medicina60050717

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：7