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Transcatheter retrieval of atrial septal defect and patent ductus arteriosus occluder: a guidance for device retrieval based on comprehensive bench tests

Published online by Cambridge University Press:  12 September 2022

Takanari Fujii*
Affiliation:
Pediatric Heart Disease and Adult Congenital Heart Disease Center, Showa University Hospital, Tokyo, Japan
Hisashi Sugiyama
Affiliation:
Pediatric Cardiology, Seirei Hamamatsu General Hospital, Shizuoka, Japan
Hideaki Kanazawa
Affiliation:
Department of Cardiology, Keio University School of Medicine, Tokyo, Japan
Hidehiko Hara
Affiliation:
Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo, Japan
Jun Muneuchi
Affiliation:
Department of Pediatrics, Japan Community Healthcare Organization, Kyushu Hospital, Fukuoka, Japan
Satoshi Yazaki
Affiliation:
Department of Pediatric Cardiology, Sakakibara Heart Institute, Fuchu, Tokyo, Japan
*
Author for correspondence: Takanari Fujii, MD, PhD, Pediatric Heart Disease and Adult Congenital Heart Disease Center, Showa University Hospital, 1-5-8, Hatanodai, Shinagawa-Ku, Tokyo 142-8666, Japan. Tel: +81-3-3784-8000; Fax: +81- 3-3784-8714. E-mail: takanarifujii@gmail.com

Abstract

Objectives:

The aim of this study is to establish a guidance for device retrieval based on comprehensive bench tests.

Background:

Device embolisation remains a major complication in transcatheter closure of atrial septal defect and patent ductus arteriosus. Although percutaneous retrieval is feasible in the majority of cases, surgical retrieval may be required in complicated circumstances. However, the methods of transcatheter device retrieval have not been completely established.

Methods:

Bench tests of device retrieval were performed to verify the appropriate retrieval method according to device type/size. The devices used for testing were Amplatzer Septal Occluder (Abbott, Chicago, IL, United States of America), Figulla Flex II (Occlutech GmbH, Jena, Germany), Amplatzer Duct Occluder-I (Abbott), Amplatzer Duct Occluder-II (Abbott), and Amplatzer Vascular Plug-II (Abbott). The retrieval equipment constituted diagnostic catheters (multipurpose catheter and right Judkins catheter, 4-Fr or 5-Fr, Gadelius Medical, Tokyo, Japan), delivery sheath and cables for each device, Amplatz goose neck snares (Medtronic, Minneapolis, MN, United States of America), OSYPKA CATCHER (Osypka ag, Rheinfelden-Herten, Germany), and OSYPKA LASSOS (Osypka). We investigated the retrieval equipment and sheath sizes required for a successful retrieval procedure for variously sized devices.

Results:

For patent ductus arteriosus devices, the type of snare and the snaring position are considered important. For atrial septal defect devices, simple snare capture or a double-snare technique with a sufficiently large sheath is effective. Special care should be taken when using the OSYPKA CATCHER for device retrieval.

Conclusions:

The results of this study may assist in the selection of both capture devices and a retrieval sheath or a catheter for complete retrieval.

Type
Original Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Alkhouli, M, Sievert, H, Rihal, CS. Device embolization in structural heart interventions: incidence, outcomes, and retrieval techniques. JACC Cardiovasc Interv 2019; 12: 113126.CrossRefGoogle ScholarPubMed
Moore, J, Hegde, S, El-Said, H, et al. Transcatheter device closure of atrial septal defects: a safety review. JACC Cardiovasc Interv 2013; 6: 433442.CrossRefGoogle ScholarPubMed
Her, AY, Lim, KH, Shin, ES. Transcatheter retrieval of embolized atrial septal defect occluder device by waist capture technique. Int Heart J 2013; 59: 226228.CrossRefGoogle Scholar
Goel, PK, Kapoor, A, Batra, A, Khanna, R. Transcatheter retrieval of embolized AMPLATZER septal occluder. Tex Heart Inst J 2012; 39: 653656.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: 690698.CrossRefGoogle ScholarPubMed
Katta, N, Gautam, S, Webel, R. Successful percutaneous retrieval of embolized septal occluder device from aortic arch and placement of a newer septal occluder device in combined procedure. Case Rep Cardiol 2016; 2016: 10328013.Google 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: 955960.CrossRefGoogle ScholarPubMed
Candan, Ö., Şahin, M, Türkmen, M. Percutaneous retrieval of embolized amplatzer septal occluder from pulmonary artery using a novel method. Turk Kardiyol Dern Ars 2018; 46: 501503.Google ScholarPubMed
Khan, MA, Almashham, YH, Almoukirish, AR, Momenah, TS. Embolized amplatzer duct occluder to aorta: retrieval technique. J Saudi Heart Assoc 2016; 28: 116118.CrossRefGoogle ScholarPubMed
Prabhu, S, Maiya, S, Shetty, R, Murthy, K, Ramachandra, P, Tiwari, R. Hybrid approach for aortic embolization of Amplatzer duct occluder. Ann Pediatr Cardiol 2020; 13: 227229.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: 685692.CrossRefGoogle ScholarPubMed
Levi, DS, Moore, JW. Embolization and retrieval of the Amplatzer septal occluder. Catheter Cardiovasc Interv 2004; 61: 543547.CrossRefGoogle ScholarPubMed