A 14F Flexible Sheath and Forceps for Safe Retrieval of a Dislodged Left
Atrial Appendage Occluder
Introduction：LAmbre occluder (Lifetech Scientific, Shenzhen, China), a
new device for left atrial appendage (LAA) occlusion, is increasingly
used, but the procedure for retrieval after dislodgement has rarely
reported in human. Methods and Results：An 80-year-old male patient with
permanent atrial fibrillation underwent the implantation of LAA
occlusion device. The occluder dislodged to left atrium (LA) at the end
of procedure. We failed to retrieve device in LA with a LASSO catheter
and forceps with the 8.5F sheath. After it suddenly flowing into aortic
arch, we successfully retrieved with a 14F flexible sheath and forceps.
We also discussed reasons for the device dislodgment and reported
experiences for device retrieval. Conclusion: Combination of the 14F
flexible sheath and forceps could be used to retrieve the dislocation of
LAA occlusion device.