ISSN 1016-5169 | E-ISSN 1308-4488
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Complete Percutaneous Retrieval of Migrated VSD Occluder Device from the Pulmonary Artery: Management of a Catastrophic Complication [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(2): 149-152 | DOI: 10.5543/tkda.2023.93350

Complete Percutaneous Retrieval of Migrated VSD Occluder Device from the Pulmonary Artery: Management of a Catastrophic Complication

Barkın Kültürsay, Hacer Ceren Tokgöz, Berhan Keskin, Özgür Yaşar Akbal, Cihangir Kaymaz
Department of Cardiology, Kartal Koşuyolu Education and Research Hospital, İstanbul, Türkiye

Transcatheter closure of muscular ventricular septal defects (VSD) remains a safe and effective method with low complication rates. However, device migration can pose a significant challenge to interventional cardiologists due to potential mortal consequences. A 21-year-old female presented to our clinic with exertional dyspnea and was diagnosed with a muscular VSD. The defect was percutaneously closed using an Amplatzer occluder device. On the first post-procedural day, the patient experienced repeated episodes of coughing and mild hemoptysis. Imaging revealed migration of the VSD occluder device to the right pulmonary artery (PA). Percutaneous retrieval of the device was then decided upon. The right PA was accessed using a hydrophilic guidewire and a pigtail catheter. This catheter was exchanged for an 8-Fr sheathless guide catheter, and a 6-Fr Judkins right catheter was advanced into the right PA through the sheathless guide catheter using the mother-and-child technique. Multiple attempts using a snare were made to retrieve the migrated device. Eventually, the proximal marker point, the hub of the device, was grasped and pulled back from the PA, then externalized through the sheath without the need for surgical cutdown. Our report represents a case of complete percutaneous retrieval of an embolized VSD occluder device from the PA.

Keywords: Complications, congenital heart disease, interventional cardiology, ventricular septal defect













How to cite this article
Barkın Kültürsay, Hacer Ceren Tokgöz, Berhan Keskin, Özgür Yaşar Akbal, Cihangir Kaymaz. Complete Percutaneous Retrieval of Migrated VSD Occluder Device from the Pulmonary Artery: Management of a Catastrophic Complication. Turk Kardiyol Dern Ars. 2024; 52(2): 149-152

Corresponding Author: Barkın Kültürsay, Türkiye
Manuscript Language: English


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