Video Supplement to “Spontaneous Device Detachment After Its Partial Deployment During Left Atrial Appendage Occlusion: A Nightmare in the Cath Lab,” by Talanas, et al. (June 2020 Clinical Images).
A 76-year-old patient was scheduled for percutaneous left atrial appendage (LAA) occlusion after a hemorrhagic stroke. After transseptal puncture and LAA sizing guided by TEE, we planned to implant a 25 mm Amplatzer Amulet through a 14 Fr delivery sheath (DS). During the device advancement maneuver, fluoroscopy demonstrated the spontaneous unscrewing of the device from the delivery cable inside the DS. The following video series shows the management of this complication.