Embolization of percutaneous left atrial appendage closure devices: Timing, management and clinical outcomes
Saved in:
| Title: | Embolization of percutaneous left atrial appendage closure devices: Timing, management and clinical outcomes |
|---|---|
| Authors: | Eppinger S., Piayda K., Galea R., Sandri M., Maarse M., Güner A., Karabay C. Y., Pershad A., Ding W. Y., Aminian A., Akin I., Davtyan K. V., Chugunov I. A., Marijon E., Rosseel L., Schmidt T. R., Amabile N., Korsholm K., Lund J., Guerios E., Amat-Santos I. J., Boccuzzi G., Ellis C. R., Sabbag A., Ebelt H., Clapp B., Assa H. V., Levi A., Ledwoch J., Lehmann S., Lee O. H., Mark G., Schell W., della Rocca D. G., Natale A., de Backer O., Kefer J., Esteban P. P., Abelson M., Ram P., Moceri P., Galache Osuna J. G., Alvarez X. M., Cruz-Gonzalez I., de Potter T., Ghassan M., Osadchiy A., Chen W., Goyal S. K., Giannini F., Rivero-Ayerza M., Afzal S., Jung C., Skurk C., Langel M., Spence M., Merkulov E., Lempereur M., Shin S. Y., Mesnier J., McKinney H. L., Schuler B. T., Armero S., Gheorghe L., Ancona M. B. M., Santos L., Mansourati J., Nombela-Franco L., Nappi F., Kühne M., Gaspardone A., van der Pals J., Montorfano M., Fernández-Armenta J., Harvey J. E., Rodés-Cabau J., Klein N., Sabir S. A., Kim J. S., Cook S., Kornowski R., Saraste A., Nielsen-Kudsk J. E., Gupta D., Boersma L., Räber L., Sievert K., Sievert H., Bertog S. |
| Contributors: | UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, UCL - (SLuc) Service de cardiologie, University Hospital Leipzig = Universitätsklinikum Leipzig, Service of Cardiology - CHU Charleroi, University of Heidelberg, Medical Faculty, Hôpital Européen Georges Pompidou APHP (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Institut Mutualiste de Montsouris (IMM), Hôpital de la Cavale Blanche - CHRU Brest (CHU - BREST), Optimisation des régulations physiologiques (ORPHY (EA 4324)), Université de Brest (UBO)-Centre Hospitalier Régional Universitaire de Brest (CHRU Brest)-Institut Brestois Santé Agro Matière (IBSAM), Université de Brest (UBO)-Université de Brest (UBO) |
| Source: | Cardiovascular revascularization medicine, Vol. 64, p. 7-14 (2024) Eppinger, S, Piayda, K, Galea, R, Sandri, M, Maarse, M, Güner, A, Karabay, C Y, Pershad, A, Ding, W Y, Aminian, A, Akin, I, Davtyan, K V, Chugunov, I A, Marijon, E, Rosseel, L, Schmidt, T R, Amabile, N, Korsholm, K, Lund, J, Guerios, E, Amat-Santos, I J, Boccuzzi, G, Ellis, C R, Sabbag, A, Ebelt, H, Clapp, B, Assa, H V, Levi, A, Ledwoch, J, Lehmann, S, Lee, O-H, Mark, G, Schell, W, Della Rocca, D G, Natale, A, de Backer, O, Kefer, J, Esteban, P P, Abelson, M, Ram, P, Moceri, P, Galache Osuna, J G, Alvarez, X M, Cruz-Gonzalez, I, de Potter, T, Ghassan, M, Osadchiy, A, Chen, W, Goyal, S K & Nielsen-Kudsk, J E 2024, 'Embolization of percutaneous left atrial appendage closure devices : timing, management and clinical outcomes', Cardiovascular revascularization medicine : including molecular interventions, vol. 64, pp. 7-14. https://doi.org/10.1016/j.carrev.2024.02.014 |
| Publisher Information: | Elsevier BV, 2024. |
| Publication Year: | 2024 |
| Subject Terms: | Male, Cardiac Catheterization, Time Factors, Septal Occluder Device, [SDV]Life Sciences [q-bio], Embolism, Atrial Appendage/diagnostic imaging, Atrial Fibrillation/therapy, Systèmes cardiovasculaire & respiratoire, Sciences de la santé humaine, Cardiac Catheterization/mortality, Atrial Fibrillation/mortality, Left Atrial Appendage Closure, Risk Factors, Cardiovascular & respiratory systems, Stroke prevention, Atrial Fibrillation, Atrial Appendage/physiopathology, Humans, Cardiac Catheterization/instrumentation, Atrial Appendage, Registries, Human health sciences, Device embolization, Retrieval strategy, Device Removal, Aged, Retrospective Studies, Aged, 80 and over, Left atrial appendage closure, Middle Aged, Atrial fibrillation, 3. Good health, Occluder embolization, Treatment Outcome, Embolism/etiology, Cardiac Catheterization/adverse effects, Device Removal/adverse effects, Female, Cardiology and Cardiovascular Medicine, Embolism/mortality |
| Description: | Left atrial appendage (LAA) occluder embolization is an infrequent but serious complication.We aim to describe timing, management and clinical outcomes of device embolization in a multi-center registry.Patient characteristics, imaging findings and procedure and follow-up data were collected retrospectively. Device embolizations were categorized according to 1) timing 2) management and 3) clinical outcomes.Sixty-seven centers contributed data. Device embolization occurred in 108 patients. In 70.4 % of cases, it happened within the first 24 h of the procedure. The device was purposefully left in the LA and the aorta in two (1.9 %) patients, an initial percutaneous retrieval was attempted in 81 (75.0 %) and surgery without prior percutaneous retrieval attempt was performed in 23 (21.3 %) patients. Two patients died before a retrieval attempt could be made. In 28/81 (34.6 %) patients with an initial percutaneous retrieval attempt a second, additional attempt was performed, which was associated with a high mortality (death in patients with one attempt: 2.9 % vs. second attempt: 21.4 %, p |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1553-8389 |
| DOI: | 10.1016/j.carrev.2024.02.014 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/38448258 https://hdl.handle.net/2268/319800 https://doi.org/10.1016/j.carrev.2024.02.014 https://hdl.handle.net/2078.1/299817 https://hdl.handle.net/2108/416868 https://doi.org/10.1016/j.carrev.2024.02.014 http://www.scopus.com/inward/record.url?scp=85186995005&partnerID=8YFLogxK https://doi.org/10.1016/j.carrev.2024.02.014 https://pure.au.dk/portal/en/publications/bd2d774b-f92b-4cf3-916a-71ffd980c264 |
| Rights: | Elsevier TDM |
| Accession Number: | edsair.doi.dedup.....c481d9421915f920cd1794e03a889244 |
| Database: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Left atrial appendage (LAA) occluder embolization is an infrequent but serious complication.We aim to describe timing, management and clinical outcomes of device embolization in a multi-center registry.Patient characteristics, imaging findings and procedure and follow-up data were collected retrospectively. Device embolizations were categorized according to 1) timing 2) management and 3) clinical outcomes.Sixty-seven centers contributed data. Device embolization occurred in 108 patients. In 70.4 % of cases, it happened within the first 24 h of the procedure. The device was purposefully left in the LA and the aorta in two (1.9 %) patients, an initial percutaneous retrieval was attempted in 81 (75.0 %) and surgery without prior percutaneous retrieval attempt was performed in 23 (21.3 %) patients. Two patients died before a retrieval attempt could be made. In 28/81 (34.6 %) patients with an initial percutaneous retrieval attempt a second, additional attempt was performed, which was associated with a high mortality (death in patients with one attempt: 2.9 % vs. second attempt: 21.4 %, p |
|---|---|
| ISSN: | 15538389 |
| DOI: | 10.1016/j.carrev.2024.02.014 |