ArticleJACC. Case reports2026
Late Hybrid Retrieval of an Embolized Left Atrial Appendage Occlusion Device: A Case and Literature Review.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDevice embolization after left atrial appendage occlusion (LAAO) is rare (∼0.1%) but may be life-threatening. CASE SUMMARY: A 72-year-old man presented with a left frontal stroke 2 years after Amplatzer Amulet LAAO device implantation. Computed tomography angiography showed the occluder lodged across the left subclavian artery ostium in the transverse aortic arch. After heart team review and Health Products Regulatory Authority compassionate-use approval, an ONO basket retrieval system (Onocor) was used to capture the device under fluoroscopic and transesophageal echocardiography guidance. Repeated attempts to resheath it into a 26-F DrySeal sheath failed because the device could not be adequately compressed. The device was withdrawn to the right common iliac artery, where evolving limb ischemia prompted surgical device extraction via an infrarenal aortotomy. Extensive tissue ingrowth was evident on device retrieval. DISCUSSION: Review of 18 published reports describing 20 cases of late LAAO device embolization showed retrieval intervals up to 18 months, almost all successfully managed percutaneously. This case extends that experience to 2 years and highlights how chronic tissue incorporation can hinder resheathing, emphasizing the role of hybrid retrieval strategies when percutaneous extraction fails. TAKE-HOME MESSAGES: Embolized LAAO devices that remain in situ for prolonged periods may develop tissue ingrowth, making percutaneous removal technically challenging. When full percutaneous extraction is not achievable, hybrid percutaneous-surgical retrieval via an infrarenal aortotomy offers a safe bailout that avoids sternotomy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.