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It was reported that device shift and device leak occurred.A left atrial appendage (laa) closure procedure was performed, and a 27mm watchman flx pro closure device was implanted on (b)(6) 2026.The patient was discharged.On (b)(6) 2026, the patient presented for a routine follow-up transesophageal echocardiography (tee), during which it was noted that the closure device had shifted, although it appeared stable.To further evaluate the finding, a computed tomography (ct) scan was obtained on (b)(6) 2026, which confirmed proximal closure device migration.Upon retrospective review of the follow-up tee, color doppler imaging demonstrated a leak on the ridge side, with no remaining fabric coverage.Following discussion with the physician, the decision was made to proceed with closure device explantation.The patient will resume anticoagulation therapy until the procedure.The planned retrieval strategy includes the use of a non-boston scientific (bsc) retrieval device, a grasping device, and a watchman trusteer access system (was) sheath.If the patient remains clinically stable and anatomy is suitable, a replacement closure device will be implanted during the same procedure, with the closure device size to be determined at the time of implantation.On (b)(6) 2026, the closure device was removed, and another closure device was reimplanted.
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