PMC5439245_01
Right atrial angiography demonstrating patent foramen ovale closure device position prior to device release.
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fig1
The device was released uneventfully (Figure 1) and the final appearance on fluoroscopy (Figure 2) and transoesophageal echocardiography was excellent; device position was confirmed with a "push-pull" maneuver prior to device release.
Patent foramen ovale occlusion device positioned appropriately across atrial septum after release.
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fig2
The device was released uneventfully (Figure 1) and the final appearance on fluoroscopy (Figure 2) and transoesophageal echocardiography was excellent; device position was confirmed with a "push-pull" maneuver prior to device release.
Digital subtraction angiography confirming embolized patent foramen ovale occlusion device within abdominal aorta.
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fig3
The device was located in the abdominal aorta (Figure 3) with no compromise of mesenteric vessels observed.
Digital subtraction angiography demonstrating distorted patent foramen ovale occlusion device in right common iliac artery.
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fig4
The gooseneck snare was then substituted for an ANL retriever; despite multiple attempts the device would not deform to allow passage into the 20 F sheath (Figure 4).