Non-surgical Retrieval of a Broken Segment of Steel Spring Guide from the Right Atrium and Inferior Vena Cava

Abstract

B., DEN-Is BLOOMFIELD, M.B., AN'D AScG1AR DAVxACnII, MI1). W JT:[II the widespread use of wire guidesand catheters inserted into the leart and blood vessels (Iiiring cardiac catleterizationi and other diaginostic pirocedur-es, l()ss of a part of sulch instru-ments should 1c) considered as a poSsible) complication. The pu.trpose of this paper is to report the loss anfl sulbse(Iuent retriexal withouit suirgery of a portion of stainless steel guide in. the riglht atriu.m and inferior vena cava duiring a rouitine cardiac catlheterizatioi.Case Report A 48 ear 0(1 Negro \vomain xas adImitted to the hospital becauise of increasing (lx/spuea,te su.ltinig froIn rhl-eumticl,heart disease. Exatminiationi revealed rmaiked cardiomegalv, a loud blox wing holosystollc and a slight early diastolic mulr1Mur11 at the apex. There were rales in both luIng fields and moderate hepatomegaly. She responided well to treatment with digitalis and diuretics. An anatomic diagnosis of mitral insufficiency xas made anid cardiac catheterization was planned.Duiring preparation for a tran-sseptal entrance inito the left atriuim, a 110-cm. stainlless-steel spring guide was pass.ed bv conventional clutdowii anld exposuire, through the sapheniotus x eim inlto the right atriuim unider cinefluor-oscopic ot) servationl. The guidle ( fig. 1) was 0.045) inch in diameter with an 0.014-inch, internal steel core that xxwas not movable and fixed 3 em. short of thle clistal tip. A Brockenbrouigh transseptal left lhearit Tefloni catheter was passed ovex the gu.i(le into the right ati-inii wxithlouit difficuilty. After approximnately 150 cin. of the guidle was xitdaxthrough the catheter, slight resistaicie to ftirthei vxitiadrxx A xxal s experieniced. Thlius, the catheter From the Cardiovascular Disease Clinical Research

Skuteczne usunięcie przemieszczonego prowadnika z końcówką w kształcie „J” za pomocą samodzielnie skonstruowanej pętli u 75-letniego pacjenta — bezpieczna i dostępna metoda

“…Percutaneous retrieval of intravascular foreign bodies was first introduced in 1964 by Thomas et al [1], presenting non-surgical retrieval of a broken segment of steel spring guide from right atrium and inferior vena cava. Today it is a more frequently applied technique as varieties of intravascular foreign bodies (including coils, stents, vena cava filters, etc) has increased because of numbers of interventional procedures has skyrocketed [2].…”

Transjugular removal of an intravascular catheter fragment using a snare loop catheter

“…[1] Though the cause of catheter rupture is not well known, inappropriate placement, removal, or positioning can play a role. [1] Following the first interventional removal of an intravascular foreign body by Thomas et al [5] in 1964, percutaneous removal has become the favored method. The nitinol gooseneck snare, first introduced in 1991, has become one of the standard methods of retrieval.…”

“…The nitinol gooseneck snare, first introduced in 1991, has become one of the standard methods of retrieval. [5] The Amplatz GooseNeck snares are preferred because of their safety and flexibility, and they provide the ability to easily grasp a foreign body. Furthermore, they are also beneficial for the removal of embolized devices and coils.…”

Retirada percutânea de corpo estranho intracardíaco com técnica original

“…The percutaneous removal of foreign bodies from the vascular system has been carried out since 1964, when Thomas for the first time removed a guide wire using a bronchoscope 6 . The snare technique is the most widely used in the removal of foreign bodies when one of their ends is accessible with a snare 7,8 .…”