A planted LAmbre device gets dislocated during the procedure :a case
report with literature review
Abstract
Abstract Introduction:LAmbre device was rarely reported to get
dislocated during the procedure and it can be deliberately recaptured,
completely retrieved and re-deployed.A LAmbre device trapped in the
mitral valve is infrequent and which can hardly be recaptured by
percutaneous retrieval. Methods:We reported a planted LAmbre
device(Lifetech Scientific Corp.) that was dislocated during the
procedure of Left Atrial Appendage Occlusion.The patient’s hemodynamic
parameters suddenly changed while we withdrew the delivery sheath.The
fluoroscopy and TEE showed that the device was detached from the landing
zone and closed to the mitral valve. Result:We attempted percutaneous
retrieval but failed and the device was subsequently recapatured by a
cardiovascular surgery. Conclusion:We should make sure the occluder in
the optimal position and operate prudently to avoid device migration or
detachment.If the device locates in the mitral valve or LV and causes
hemodynamic changes,a surgery should be performed as quickly as possible
to retrieve the implant.