Evidence map›Paper›PMID 41837935›Full record

ArticleJACC. Case reports2026

Percutaneous Retrieval of a Sequentially Embolized Amulet Device: From Mitral Apparatus to Aortic Arch.

Mariam Dvalishvili, Alireza Ghajar, Siddharth Chinta, Emil Missov, Ghanshyam Shantha, Paul Mahoney

Abstract readCase Reports
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mariam DvalishviliDepartment of Cardiovascular Sciences, East Carolina University, Greenville, North Carolina, USA. Electronic address: mdvalis.md@gmail.com.
Alireza GhajarDepartment of Cardiovascular Sciences, East Carolina University, Greenville, North Carolina, USA.
Siddharth ChintaDepartment of Cardiovascular Sciences, East Carolina University, Greenville, North Carolina, USA.
Emil MissovDepartment of Cardiovascular Sciences, East Carolina University, Greenville, North Carolina, USA.
Ghanshyam ShanthaDepartment of Cardiovascular Sciences, East Carolina University, Greenville, North Carolina, USA.
Paul MahoneyDepartment of Cardiovascular Sciences, East Carolina University, Greenville, North Carolina, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe present a case of a left atrial appendage occlusion device placement complicated by device embolization to the mitral apparatus, left ventricle, and then aorta, which was successfully retrieved via a transcatheter approach. KEY STEPS: The key steps are to use ultrasound and fluoroscopic guidance to visualize real-time location of a dislodged device, consider use of rapid pacing during retrieval to stabilize the device and protect the mitral valve, and have a multidisciplinary real-time plan for urgent surgical intervention if needed. POTENTIAL PITFALLS: Potential complications of device retrieval include worsening mitral regurgitation during snaring, left ventricular outflow tract obstruction, entrapment in chordae tendineae, and aortic injury while pulling the device around the arch. TAKE-HOME MESSAGES: Device embolization during or after left atrial appendage closure device placement is rare but can cause serious, life-threatening complications. Prompt recognition, multidisciplinary planning, multimodality imaging, and individualized retrieval strategies are essential. Migration may occur during both deployment and retrieval, posing risk of vascular injury, valvular damage, and arrhythmias. Percutaneous retrieval is feasible in select cases.

Indexed as

amulet devicedevice embolizationleft atrial appendage occlusionpercutaneous retrievalsnare retrieval technique

Identifiers

PMID41837935
PMCPMC13104363

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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.