Evidence map›Paper›PMID 41879605›Full record

ArticleJACC. Case reports2026

Hybrid Transcatheter and Endoscopic Retrieval of a Pulmonary Artery-Embolized ASD Occluder in Hemodynamic Compromise.

Hristian Hinkov, Daniel Schwarzkopf, Dustin Greve, Chong Bin Lee, Christian Krall, Christoph Klein, Jörg Kempfert, Axel Unbehaun, Markus Kofler

Abstract readCase Reports
PubMed Full text at PMC Publisher
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

9 authors.

Hristian HinkovDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Structural Heart Interventions Program (SHIP), Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; DZHK (German Center for Cardiovascular Research), Partner Site Berlin, Berlin, Germany. Electronic address: hristian.hinkov@dhzc-charite.de.
Daniel SchwarzkopfDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Structural Heart Interventions Program (SHIP), Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany.
Dustin GreveDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Chong Bin LeeCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Structural Heart Interventions Program (SHIP), Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany.
Christian KrallCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Structural Heart Interventions Program (SHIP), Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Department of Cardiac Anaesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany.
Christoph KleinCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Structural Heart Interventions Program (SHIP), Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany.
Jörg KempfertDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Axel UnbehaunDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Structural Heart Interventions Program (SHIP), Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; DZHK (German Center for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.
Markus KoflerDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Berlin, Germany; Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmbolization of atrial septal defect (ASD) occluders is uncommon but potentially life-threatening, often requiring urgent intervention. Transcatheter retrieval is typically attempted first, but success depends on achieving slenderizing of the device-which may be limited by anatomy or device position, frequently necessitating surgical removal. CASE SUMMARY: A 25-year-old woman presented with hemodynamic compromise after embolization of an ASD occluder into the main pulmonary artery. A tailored hybrid strategy was undertaken: controlled snare-guided mobilization of the device into the right ventricle created a surgically accessible position, enabling minimally invasive 3D-endoscopic extraction and definitive ASD repair, avoiding sternotomy and pulmonary arteriotomy. DISCUSSION: This case represents the first reported hybrid combination of transcatheter approach with minimally invasive endoscopic cardiac surgery for pulmonary artery-embolized ASD occluder retrieval, highlighting the importance of interdisciplinary, cross-subspecialty procedural planning. TAKE-HOME MESSAGE: Hybrid transcatheter-endoscopic approaches may be a feasible, least-invasive retrieval and repair strategy when standalone transcatheter retrieval is unsuccessful.

Indexed as

Amplatzer occluderASDdevice embolizationendcoscopic cardiac surgeryhybrid cardiac surgeryminimally invasive cardiac surgerytranscatheter retrieval

Identifiers

PMID41879605
PMCPMC13130911

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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.