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It was reported that device migration and a stroke occurred.A concomitant procedure consisting of pulse field ablation and left atrial appendage closure (laac) was performed.Following completion of the ablation procedure, a watchman truseal access system (was) and a 35mm watchman flx pro left atrial appendage (laa) closure device and delivery system (wds) were selected for the laac procedure.The wds was advanced into the laa and deployed.Prior to release, the device position and compression were assessed and deemed acceptable.Following release, the closure device appeared to shift to a more proximal position compared with its pre-release location.Although the device remained within the laa, it was noted to be seated relatively proximally.The patient remained under observation following implantation.Subsequently, the patient developed symptoms for a stroke.Magnetic resonance imaging (mri) was performed as part of the post-procedural evaluation.
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