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It was reported that device migration occurred.A left atrial appendage closure (laac) procedure was being performed.A 24mm watchman flx pro laa closure device and delivery system was deployed.An xray with contrast and intracardiac echo confirmed all position, anchor, size and seal (pass) criteria were met and the device was released.While completing a sweeping check for effusion, the implanter noticed the device had shifted.The device continued to turn sideways.A decision was made the snare the device because of the risk of embolization and because it would not heal in that position.An interventional cardiologist assisted on the retrieval.The patient was intubated and the physician switched to transesophageal echocardiography (tee) imaging.The forceps were visualized on the face of the device.The device was pulled all the way into the watchman trusteer access system.It was engaged on the posterior limbus side.It was about the same amount of pressure as normal to recapture a device.When the device was removed it appeared to be in perfect condition.All of the hooks were intact, and the tines were in the correct positions.A larger device was then selected to be implanted successfully.The new device met all pass criteria.The physician watched it for several minutes on tee and the device remained unchanged.The patient was stable post procedure and scheduled to go home.
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