{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T09:19:32Z","timestamp":1787735972519,"version":"build-2784847793"},"reference-count":26,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartrhythmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.hrthm.2026.03.1894","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T01:02:53Z","timestamp":1773968573000},"page":"e1966-e1974","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and efficacy of Watchman extraction using a double transseptal approach"],"prefix":"10.1016","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6293-2564","authenticated-orcid":false,"given":"Marco","family":"Marino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo Mirco","family":"La Fazia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Chiarazzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirollos","family":"Gabrah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Cain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carola","family":"Gianni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanghamitra","family":"Mohanty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Stifano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weeranun Dechyapirom","family":"Bode","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amin","family":"Al-Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Di Biase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodney","family":"Horton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devi","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5487-0728","authenticated-orcid":false,"given":"Andrea","family":"Natale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrthm.2026.03.1894_bib1","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1161\/CIR.0000000000001193","article-title":"2023 ACC\/AHA\/ACCP\/HRS guideline for the diagnosis and management of atrial fibrillation: A report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"149","author":"Joglar","year":"2024","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib2","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.hrthm.2020.04.024","article-title":"Percutaneous approaches for retrieval of an embolized or malpositioned left atrial appendage closure device: a multicenter experience","volume":"17","author":"Afzal","year":"2020","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib3","doi-asserted-by":"crossref","first-page":"2878","DOI":"10.1016\/j.jacc.2019.09.064","article-title":"Long-term safety and efficacy in continued access left atrial appendage closure registries","volume":"74","author":"Holmes","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib4","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1093\/ehjqcco\/qcab042","article-title":"Left atrial appendage occlusion in the UK: prospective registry and data linkage to hospital episode statistics","volume":"7","author":"Willits","year":"2021","journal-title":"Eur Heart J Qual Care Clin Outcomes"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib5","doi-asserted-by":"crossref","first-page":"774","DOI":"10.4244\/EIJ-D-20-01309","article-title":"Incidence and clinical impact of major bleeding following left atrial appendage occlusion: insights from the amplatzer amulet observational post-market study","volume":"17","author":"Aminian","year":"2021","journal-title":"EuroIntervention"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib6","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.hrthm.2023.01.007","article-title":"SCAI\/HRS expert consensus statement on transcatheter left atrial appendage closure","volume":"20","author":"Saw","year":"2023","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib7","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1016\/j.jacc.2015.12.001","article-title":"SCAI\/ACC\/HRS institutional and operator requirements for left atrial appendage occlusion","volume":"67","author":"Kavinsky","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib8","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.amjcard.2021.04.015","article-title":"MAUDE Database Analysis of Post-Approval Outcomes following Left Atrial Appendage Closure with the Watchman Device","volume":"152","author":"Ledesma","year":"2021","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib9","doi-asserted-by":"crossref","first-page":"e838","DOI":"10.4244\/EIJ-D-24-00812","article-title":"Management of device embolisation during left atrial appendage closure","volume":"21","author":"Kefer","year":"2025","journal-title":"EuroIntervention"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib10","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.121.011718","article-title":"Periprocedural pericardial effusion complicating transcatheter left atrial appendage occlusion: a report from the NCDR LAAO registry","volume":"15","author":"Price","year":"2022","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib11","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.122.012183","article-title":"Device-sizing and associated complications with left atrial appendage occlusion: findings from the NCDR LAAO registry","volume":"15","author":"Sandhu","year":"2022","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib12","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1016\/j.jacc.2019.12.040","article-title":"The NCDR left atrial appendage occlusion registry","volume":"75","author":"Freeman","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib13","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.jcin.2013.11.010","article-title":"Percutaneous left atrial appendage occlusion for stroke prophylaxis in nonvalvular atrial fibrillation: a systematic review and analysis of observational studies","volume":"7","author":"Bajaj","year":"2014","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib14","doi-asserted-by":"crossref","first-page":"2516","DOI":"10.4022\/jafib.2516","article-title":"Left atrial appendage occlusion device embolization (the LAAODE Study): understanding the timing and clinical consequences from a worldwide experience","volume":"13","author":"Murtaza","year":"2021","journal-title":"J Atr Fibrillation"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib15","first-page":"365","article-title":"Transcatheter cerebral embolic protection during WATCHMAN procedure in two patients with persistent left atrial appendage thrombus: case report with review of the literature","volume":"97","author":"Tan","year":"2021","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib16","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1093\/icvts\/ivy290","article-title":"Thoracoscopic retrieval of an atrial appendage occlusion device after embolization into the left ventricular outflow tract and damaging the mitral valve requiring replacement","volume":"28","author":"Yilmaz","year":"2019","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib17","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jcin.2018.08.033","article-title":"Device embolization in structural heart interventions: incidence, outcomes, and retrieval techniques","volume":"12","author":"Alkhouli","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib18","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/j.jacep.2024.102328","article-title":"First-in-human percutaneous removal of left atrial appendage occlusion devices with a novel retrieval system","volume":"10","author":"Hermann","year":"2024","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib19","article-title":"Percutaneous removal of left atrial appendage occlusion device with a dedicated retrieval system","volume":"30","author":"Guddeti","year":"2025","journal-title":"JACC Case Rep"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib20","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/j.carrev.2019.04.023","article-title":"Clinical outcomes of sentinel cerebral protection system use during transcatheter aortic valve replacement: a systematic review and meta-analysis","volume":"21","author":"Ndunda","year":"2020","journal-title":"Cardiovasc Revasc Med"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib21","first-page":"4572","article-title":"Percutaneous extraction of a migrated WATCHMANTM device after seven months","volume":"12","author":"Maan","year":"2021","journal-title":"J Innov Card Rhythm Manag"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib22","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/j.jacep.2019.11.015","article-title":"Percutaneous retrieval of left atrial appendage closure devices with an endoscopic grasping tool","volume":"6","author":"Turagam","year":"2020","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib23","article-title":"Transcatheter extraction of a migrated left atrial appendage occluder device","volume":"29","author":"Wong","year":"2024","journal-title":"JACC Case Rep"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib24","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1093\/ejcts\/ezy005","article-title":"Emergent surgical removal of a migrated left atrial appendage occluder","volume":"54","author":"El-Gabry","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib25","article-title":"Successful percutaneous retrieval of an embolized left atrial appendage occluder","volume":"4","author":"Ferraris","year":"2022","journal-title":"JACC Case Rep"},{"key":"10.1016\/j.hrthm.2026.03.1894_bib26","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1186\/s12872-019-1170-8","article-title":"Percutaneous retrieval of an embolized left atrial appendage closure device from the left atrium in a patient with previous MitraClips","volume":"19","author":"Chopra","year":"2019","journal-title":"BMC Cardiovasc Disord"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126021508?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126021508?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T08:39:26Z","timestamp":1787733566000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547527126021508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":26,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S1547527126021508"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.03.1894","relation":{},"ISSN":["1547-5271"],"issn-type":[{"value":"1547-5271","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Safety and efficacy of Watchman extraction using a double transseptal approach","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.03.1894","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Heart Rhythm Society. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}