Valvular & structural heart disease
Management of device embolisation during left atrial appendage closure
Recommendations
As issued by the authors
Percutaneous recapture is the main approach in case of an aortic or left atrial embolisation
emergent surgery should be performed if the device becomes entangled in the mitral apparatus with poor haemodynamics unsolved by transcatheter device mobilisation into the left ventricular (LV) cavity
In cases of LV embolisation and stable haemodynamics, a transfemoral or transseptal retrieval may be attempted
all cath labs performing left atrial appendage closure (LAAC) procedures should be equipped with minimum 16 Fr sheaths, steerable sheaths, single-loop snares and grasping tool devices
Original publication
Management of device embolisation during left atrial appendage closure. EuroIntervention. Published 4 August 2025. doi:10.
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