WATCHMAN FLX LEFT ATRIAL APPENDAGE CLOSURE DEVICE WITH DELIVERY SYSTEM
Report
- Report Number
- 2124215-2024-31625
- Event Type
- Injury
- Date Received
- May 24, 2024
- Date of Event
- April 2, 2024
- Report Date
- May 24, 2024
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- NGV
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
B3: ESTIMATED AS 04/02/22024 AS THE ONLINE PUBLISHED DATE FOR THE ARTICLE IS NOTED AS 2 APRIL 2024. CITATION: DHALIWAL, S., TAO, M., GIER, C., KIM, P.M., MALEKI, N.D., NOVOTNY, H.S., BENSON, D., RASHBA, E.J., MANN, N.N. & KORT, S. (2024). INTRADEVICE LEAK: A RARE BUT IMPORTANT COMPLICATION AFTER LEFT ATRIAL APPENDAGE OCCLUSION, JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, VOLUME 83, ISSUE 13, SUPPLEMENT A, PAGE 2886. ISSN 0735-1097. HTTPS://DOI.ORG/10.1016/S0735-1097(24)04876-9. HTTPS://WWW.SCIENCEDIRECT.COM/SCIENCE/ARTICLE/PII/S0735109724048769).
REPORTED VIA JOURNAL ARTICLE. IT WAS REPORTED A CLOSURE DEVICE DID NOT SEAL. A 71-YEAR-OLD FEMALE WITH ATRIAL FIBRILLATION (AF) UNDERWENT 24MM WATCHMAN FLX LAA CLOSURE DEVICE IMPLANTATION GIVEN HISTORY OF SUBDURAL HEMATOMA REQUIRING EVACUATION. THERE WAS NO INITIAL LEAK AFTER IMPLANT. 45 DAYS POST-IMPLANTATION, TRANSESOPHAGEAL ECHOCARDIOGRAPHY DEMONSTRATED A 2.1 MM INTRADEVICE LEAK (IDL) WITH BIDIRECTIONAL FLOW ADJACENT TO A WELL SEATED DEVICE, AND A SMALL DISCONTINUITY. AFTER MULTIDISCIPLINARY SHARED DISCUSSION WITH THE PATIENT, THE PATIENT WAS CONTINUED ON ANTIPLATELET AGENTS AND REINITIATED ON ORAL ANTICOAGULATION (OAC) MEDICATION WITH CLOSE MONITORING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2320456 | WATCHMAN FLX LEFT ATRIAL APPENDAGE CLOSURE DEVICE WITH DELIVERY SYSTEM | SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL | NGV | BOSTON SCIENTIFIC CORPORATION | 10390 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Female | Other |