# Successful Percutaneous Retrieval of Embolized Left Atrial Appendage Occlusion Device From Left Ventricle

**Authors:** Nihar Jena, Boney Lapsiwala, Gayatri Bondi, Quang Dat Ha, Yash Verma, Prabhat Singh, Hari Naga Garapati, Sreekant Avula, Rameez Sayyed, Kirit Patel

PMC · DOI: 10.1016/j.jaccas.2025.105902 · JACC Case Reports · 2025-12-10

## TL;DR

This paper describes a successful minimally invasive retrieval of a heart device that moved to the wrong place, avoiding the need for surgery.

## Contribution

The paper presents a novel percutaneous retrieval method for embolized LAAO devices using a triple-loop snare.

## Key findings

- An 80-year-old patient's embolized LAAO device was successfully retrieved percutaneously.
- A combined transseptal and transarterial approach was used for the retrieval.
- Percutaneous retrieval is a viable alternative to surgical intervention for this complication.

## Abstract

The left atrial appendage occlusion (LAAO) device is a noninferior alternative to anticoagulation therapy in patients with atrial fibrillation. Device embolization is a rare but possible complication, often requiring surgical intervention specifically for left ventricular retrieval.

An 80-year-old woman underwent LAAO device placement according to standard protocol, but the device embolized within a few hours. The embolized LAAO device was successfully retrieved percutaneously with a triple-loop snare using a combined transseptal and transarterial approach.

The percutaneous approach highlighted in the case offers a unique, minimally invasive method for retrieving the embolized LAAO device, thereby avoiding the need for open heart surgery.

LAAO device embolization is a rare potential complication that requires monitoring after the procedure. Percutaneous retrieval using a triple-loop snare is a viable option.

## Linked entities

- **Diseases:** atrial fibrillation (MONDO:0004981)

## Full-text entities

- **Diseases:** LAAO (MESH:D059446), atrial fibrillation (MESH:D001281), Left Ventricle (MESH:D020257)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12861665/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC12861665/full.md

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Source: https://tomesphere.com/paper/PMC12861665