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Asymptomatic migration of an AMPLATZER™ Amulet™ left atrial appendage occluder through the mitral valve
An 84‐year‐old woman with a history of hemorrhagic stroke was admitted for a new cerebral ischemic event. While in hospital, she was diagnosed with paroxysmal atrial fibrillation. Owing to her high thromboembolic risk (CHA2DS2‐VASc score of 6) we performed left atrial appendage (LAA) closure using a 22‐mm AMPLATZER™ Amulet™. The procedure was successful. Systematic follow‐up with transthoracic echocardiography 8 hr later revealed that the LAA occluder had migrated and become entrapped in the mitral subvalvular apparatus. At this time, the patient was asymptomatic. The device was recovered percutaneously using...
Source: Catheterization and Cardiovascular Interventions - May 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Petru Mester, Antoine Dompnier, Loïc Belle Tags: Valvular and Structural Heart Diseases Source Type: research

Asymptomatic migration of an AMPLATZER ™ Amulet™ left atrial appendage occluder through the mitral valve
An 84‐year‐old woman with a history of hemorrhagic stroke was admitted for a new cerebral ischemic event. While in hospital, she was diagnosed with paroxysmal atrial fibrillation. Owing to her high thromboembolic risk (CHA2DS2‐VASc score of 6) we performed left atrial appendage (LAA) closure using a 22‐mm AMPLATZER™ Amulet™. The procedure was successful. Systematic follow‐up with transthoracic echocardiography 8 hr later revealed that the LAA occluder had migrated and become entrapped in the mitral subvalvular apparatus. At this time, the patient was asymptomatic. The device was recovered percutaneously using...
Source: Catheterization and Cardiovascular Interventions - May 3, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Petru Mester, Antoine Dompnier, Lo ïc Belle Tags: Valvular and Structural Heart Diseases Source Type: research

Reduced Intracranial Hemorrhage with Anticoagulation Guideline Implementation
J Extra Corpor Technol. 2022 Dec;54(4):318-323. doi: 10.1182/ject-2200011.ABSTRACTHemorrhagic and thrombotic complications, including intracranial hemorrhage, embolic stroke, surgical bleeding, and circuit thrombosis, are common during extracorporeal membrane oxygenation (ECMO), occurring in up to 50% of patients. These complications have a significant impact on morbidity and mortality. Our objective was to implement standardized ECMO anticoagulation guidelines for the pediatric cardiothoracic intensive care unit (CTICU) to reduce the incidence of intracranial hemorrhage while on ECMO. All CTICU patients who received ECMO ...
Source: Journal of Extra-Corporeal Technology - February 6, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Vicky Duffy Brian Schneider Matt Deitemyer Ashley Walczak Janet M Simsic Source Type: research

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