Interventional Removal of Intravascular Medical Devices: Methods and Technical Success

Ayx, Isabelle; Goessmann, Holger; Hubauer, H.; Uller, Wibke; Wiesinger, Isabel; Uhl, Christian; Töpel, I.; Zorger, N.

doi:10.1055/s-0042-104204

Cited by 7 publications

(13 citation statements)

References 12 publications

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“…MD-CT is considered the gold standard imaging technique in this setting, because it gives information about IFB's characteristics and its exact anatomical location. 3,14 Ultrasound is generally used only intraoperatively, as it is considered a mandatory tool for endovascular access. 15 Finally, high-resolution digital subtraction angiography (DSA) is essential in order to perform the IFB removal with an accurate vision of all endovascular procedure phases.…”

Section: Imaging Study For Ifb Retrievalmentioning

confidence: 99%

“…Nowadays, modern loops have been produced with the following characteristics: a single straight guidewire loaded into an angiographic catheter, where an atraumatic soft metal ring is welded at its distal end. 3,14 Furthermore, snare devices can have a range of sizes (from 2 to 35 mm), variable angle of emergence (from 0° to 90°), and 1-3 loops. All these characteristics greatly facilitate the manipulation of the devices aiding the IFB retrieval.…”

Section: Loop Snarementioning

confidence: 99%

“…3 It should be underscored that they have to be used by experienced operators as they can cause vessel wall damage or perforation. 3,4,14 Techniques for IFB retrieval…”

Section: Intravascular Grasping Forcepsmentioning

confidence: 99%

“…Given the wide range of possible endovascular devices and IFBs, an accurate preoperative planning with multidetector computed tomography (MD-CT) imaging is mandatory to choose the best approach. 3,14 The aim of this article is to describe in a schematic and valuable way the main endovascular materials and techniques for IFB retrieval, in order to provide the operator with a clear range of options that can be used in this peculiar setting.…”

Section: Introductionmentioning

confidence: 99%

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Materials and techniques for percutaneous retrieval of intravascular foreign bodies

et al. 2018

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The presence of an intravascular foreign body represents a well-known risk of serious complications. While in the past surgical removal of intravascular foreign body was the most common intervention, nowadays a percutaneous approach in the retrieval of an intravascular foreign body is widely accepted as the first-line technique. In the literature, many case reports describe different techniques and materials. This article summarizes and illustrates the main materials and techniques currently applied for percutaneous retrieval of intravascular foreign body, providing a simplified tool with different interventional possibilities, adaptable to different clinical situations.

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Section: Imaging Study For Ifb Retrievalmentioning

confidence: 99%

Section: Loop Snarementioning

confidence: 99%

“…3 It should be underscored that they have to be used by experienced operators as they can cause vessel wall damage or perforation. 3,4,14 Techniques for IFB retrieval…”

Section: Intravascular Grasping Forcepsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Materials and techniques for percutaneous retrieval of intravascular foreign bodies

et al. 2018

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“…In 1964, first percutaneous removal of broken guidewire from right atrium with rigid bronchoscopic forceps was reported (2). In the last two decades, the percutaneous removal technique of intravascular for-J Korean Soc Radiol 2020;81(2):442-447 eign body is widely perceived as first line treatment, which could achieve minimally invasive technique with high success rate and low complication risk (3,4). On the other hand, there have been only a limited number of studies regarding percutaneous removal of intra-abdominal foreign body without surgical assistance (5).…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Transhepatic Removal of Migrated Biliary Stent from a Chronic Biloma Cavity

이

2020

J Korean Soc Radiol

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Iatrogenic foreign bodies are a challenging complication to both the interventional radiologist and patient, resulting in impaired quality of life and substantial financial cost. The case report describes a successful percutaneous transhepatic removal of an intra-abdominal foreign body. A 72-year-old man underwent surgery for placement of a retrievable covered stent for refractory bile leakage after left hemihepatectomy. Three days after placement, stent folding and migration into a chronic biloma cavity occurred via the bile leakage site. By using a balloon catheter technique, the folded stent could be straightened and repositioned into the bile duct to minimize stent-strut injury during retrieval. The interventional approach could be a valid treatment option for intra-abdominal foreign bodies, as well as intravascular foreign bodies. A thorough understanding of devices and techniques can provide the interventional radiologist with valuable information regarding procedural planning and the management of iatrogenic foreign bodies.

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Endovascular Removal of Foreign Bodies: Single Center Experience

et al. 2022

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Catheter rupture or displacement is a serious and rare complication of central venous catheterization, with an incidence of approximately 1%. Once the intravascular foreign body is found, it should be removed as soon as possible. This study investigated the safety and efficacy of endovascular techniques for the removal of intravascular foreign bodies. This was a retrospective analysis of 23 patients with intravascular foreign bodies admitted to our hospital from January 2009 to June 2019 summarizing the types and locations of foreign bodies and the removal techniques. Overall Twenty-three cases of intravascular foreign bodies were successfully treated with endovascular techniques, for a technical success rate of 100%. The types of foreign bodies included 14 infusion port catheters (60.9%), 6 peripherally inserted central catheters (26.1%), 2 temporary deep vein catheters (8.7%), and 1 intravenous stent (4.3%). The most common orientation of foreign body displacement was one end of the foreign body in the inferior vena cava and the other end in the right atrium (14/23, 60.9%). In terms of technique, all patients underwent removal procedures with only one venous access point. The operative time ranged from 6 to 153 min, with an average of 28.7 min. This study preliminarily demonstrates the safety and efficacy of percutaneous interventional intravascular foreign body removal. Endovascular techniques are minimally invasive and reliable and can be used to safely and effectively remove intravascular foreign bodies.

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Interventional Removal of Intravascular Medical Devices: Methods and Technical Success

Cited by 7 publications

References 12 publications

Materials and techniques for percutaneous retrieval of intravascular foreign bodies

Materials and techniques for percutaneous retrieval of intravascular foreign bodies

Percutaneous Transhepatic Removal of Migrated Biliary Stent from a Chronic Biloma Cavity

Endovascular Removal of Foreign Bodies: Single Center Experience

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