Evidence map›Paper›PMID 42017246›Full record

ArticleJACC. Case reports2026

Retrieval of a Free-Floating Transcatheter Edge-to-Edge Repair Clip in a Giant Left Atrium.

Ruitao Hou, Munire Zaibi, Jiayi Weng, Zhongshan Gou, Iokfai Cheang, Haifeng Zhang, Tianbao Xu

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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Ruitao HouDepartment of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, China.
Munire ZaibiDepartment of Cardiology, The Affiliated Kezhou People's Hospital of Nanjing Medical University, Kezhou, Xinjiang, China.
Jiayi WengDepartment of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, China.
Zhongshan GouDepartment of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, China.
Iokfai CheangState Key Laboratory for Innovation and Transformation of Luobing Theory, Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Haifeng ZhangDepartment of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, China; Department of Geriatric Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Tianbao XuDepartment of Cardiology, The Affiliated Kezhou People's Hospital of Nanjing Medical University, Kezhou, Xinjiang, China. Electronic address: xutianbao8410@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevice embolization during transcatheter edge-to-edge repair is a rare and catastrophic complication. Retrieval can be particularly challenging in a giant left atrium (LA), where jet-driven device motion may render active "chasing" ineffective. CASE SUMMARY: A DragonFly clip completely detached in a 75-year-old man with a giant LA (anteroposterior diameter ∼10 cm). The device moved erratically, driven by eccentric regurgitant jets, making active pursuit unsuccessful. We switched to a fluoroscopy-guided passive capture strategy after identifying a consistent turning/impact zone on the lateral atrial wall. The snare was stationed at this specific site to await and intercept the recirculating clip, which allowed for subsequent orientation and atraumatic extraction. DISCUSSION: This case illustrates the use of a practical "floating clip" phenomenon in a giant LA. When fluoroscopy demonstrates a repeatable device trajectory, passive capture at a reproducible turning/impact zone may facilitate device retrieval and support continued percutaneous management in selected cases.

Indexed as

device embolizationgiant left atriummitral regurgitationpercutaneous retrievalsnare techniquetranscatheter edge-to-edge repair

Identifiers

PMID42017246
PMCPMC13350381

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.