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It was reported that device migration occurred.A left atrial appendage (laa) closure procedure was performed under transesophageal echocardiography (tee) guidance.A 20mm watchman flx pro delivery system and closure device (wds) was positioned in the available deployment location due to limited appendage depth.Prior to release, the wds met pass criteria with approximately 10% to 15% compression, a successful tug test, no leak, and approximately one-third shoulder.Following release, the closure device shifted proximally and a larger shoulder was noted, most prominently in the 90 degree tee view, causing it to no longer meet release criteria.Subsequent tee assessment demonstrated no further movement of the closure device.No intervention was performed, and the plan is to reassess device position at the 45 day follow up.
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