Hostname: page-component-6bf8c574d5-t27h7 Total loading time: 0 Render date: 2025-02-17T18:29:06.802Z Has data issue: false hasContentIssue false
  • English
  • Français

Successful retrieval of embolised Occlutech atrial septal defect occluder from descending aorta in a 4-year-old child using a “mother and child” technique: a case report and literature review

Published online by Cambridge University Press:  21 June 2022

Abdul Salam Open the ORCID record for Abdul Salam [Opens in a new window] ,
Robert Yates  and
Sachin Khambadkone
Abdul Salam
Affiliation:
University College London, Institute of Cardiovascular Science, London, UK Great Ormond Street Hospital for Children, London, UK
Robert Yates
Affiliation:
University College London, Institute of Cardiovascular Science, London, UK Great Ormond Street Hospital for Children, London, UK
Sachin Khambadkone*
Affiliation:
University College London, Institute of Cardiovascular Science, London, UK Great Ormond Street Hospital for Children, London, UK
*
Author for correspondence: S. Khambadkone, Paediatric Cardiology Services, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK. Tel: +44 207 405 9200. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

A 9 mm Occlutech septal occluder Flex II device was retrieved in a 4-year-old 22 kg child; A 6 Fr Cook® Flexor sheath (child) was inserted into a 9 Fr Occlutech® ASD Delivery Set (mother). Once the tip of the smaller sheath was close to the device, a 4 Fr right Judkins catheter was introduced with a snare. The right atrial hub was captured and withdrawn to the level of the 6 Fr sheath which was then withdrawn into the 9 Fr sheath before being removed completely. The “mother and child” technique offers a greater likelihood of slenderising and retrieving embolised devices.

Keywords

Retrievalembolisationsheath-in-sheath
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 2 , February 2023 , pp. 309 - 312
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Levi, DS, Moore, JW. Embolization and retrieval of the Amplatzer septal occluder. Catheter Cardiovasc Interv 2004; 61: 543–547.CrossRefGoogle ScholarPubMed
Goel, PK, Kapoor, A, Batra, A, Khanna, R. Transcatheter retrieval of embolized AMPLATZER septal occluder. Tex Heart Inst J 2012; 39: 653–656.Google ScholarPubMed
Shirodkar, S, Patil, S, Pinto, R, Dalvi, B. Successful retrieval of migrated Amplatzer septal occluder. Ann Pediatr Cardiol 2010; 3: 83–86.Google ScholarPubMed
Shebani, SO, Rehman, R, Taliotis, D, et al. Techniques for transcatheter retrieval of the occlutech ASD device United Kingdom-European multicenter report. Catheter Cardiovasc Interv 2017; 89: 690–698.CrossRefGoogle ScholarPubMed
Her, AY, Lim, KH, Shin, ES. Transcatheter retrieval of embolized atrial septal defect occluder device by waist capture technique. Int Heart J 2018; 59: 226–228.CrossRefGoogle ScholarPubMed
Khosravi, A, Mirdamadi, A, Movahed, MR. Successful Retrieval of embolized atrial septal defect occluder and patent foramen ovale closure device using novel coronary wire trap technique. Catheter Cardiovasc Interv 2018; 92: 189–192.10.1002/ccd.26955CrossRefGoogle ScholarPubMed
Georgiev, S, Tanase, D, Genz, T, et al. Retrieval of large Occlutech Figula Flex septal defect occluders using a commercially available bioptome: proof of concept. Cardiol Young 2018; 28: 955–960.CrossRefGoogle ScholarPubMed
Ha, KS, Choi, JY, Jung, SY, et al. A novel double snare technique to retrieve embolized septal and left atrial appendage occluders. J Interv Cardiol 2018; 31: 685–692.CrossRefGoogle ScholarPubMed
Takahashi, S, Saito, S, Tanaka, S, et al. New method to increase a backup support of a 6 French guiding coronary catheter. Catheter Cardiovasc Interv 2004; 63: 452–456.CrossRefGoogle ScholarPubMed
Pala, S, Açar, G, Tigen, K, Kırma, C. Percutaneous retrieval of an interatrial septal occluder device embolized into the aortic arch. Turk Kardiyol Dern Ars 2010; 38: 502–504.Google ScholarPubMed