Percutaneous Retrieval of Lost or Misplaced Intravascular Objects

Gabelmann, Andreas; Krämer, Stefan; Görich, Johannes

doi:10.2214/ajr.176.6.1761509

Cited by 184 publications

(132 citation statements)

References 24 publications

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“…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 . The hook technique is used [to retrieve] fragments without free ends.…”

Section: Discussionmentioning

confidence: 99%

Retirada percutânea de corpo estranho intracardíaco com técnica original

Martins

Faria

2007

Arq. Bras. Cardiol.

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We report on the case of a patient with a long term vascular catheter embolized into the right ventricle. This case had unique characteristics since both ends of the catheter were inaccessible for snare, which made it difficult to capture them using conventional techniques. We describe a new method to retrieve the foreign body through its mid-point portion, using a single catheter with two independent snare and hook systems.

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Section: Discussionmentioning

confidence: 99%

Retirada percutânea de corpo estranho intracardíaco com técnica original

Martins

Faria

2007

Arq. Bras. Cardiol.

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“…In their study, Önal et al described broken-off fragments of two venous catheters (20 %); in addition, in the course of placement of a central venous catheter as part of this study, two guidewires were lost [8]. Gabelmann et al [14] refer to dislocation of guidewires in four of 45 cases (8.9 %). Retrieval of a dislocated stent and atrial umbrella posed a particular challenge.…”

mentioning

confidence: 88%

“…The SOS Omni catheter was employed most frequently (64.7 %). Forceps, most frequently mentioned in the literature, including Gabelmann et al [14] and Egglin et al [17], were used only once in our study. The disadvantage of the forceps as a rigid system is that they are primarily used for jugular access into the large veins and right atrium, thus the risk of vessel perforation must be considered [7].…”

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confidence: 99%

Interventional Removal of Intravascular Medical Devices: Methods and Technical Success

Ayx

Goessmann

Hubauer

et al. 2016

Fortschr Röntgenstr

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▼Purpose: Evaluation of the technical success rate and complications when retrieving dislocated intravascular foreign bodies. Material and Methods: Between 1999 and 2015 38 patients (21 female; 17 male; Age: 17 -92; Average 54.3 years) underwent an extraction of intravascular dislocated foreign bodies, which were not lost during a radiological intervention. The extracted material included 29 port catheters, 3 tips of tunneled dialysis catheters, 2 stents, 2 guide wires, 1 CVC tip and 1 AS occluder device. Various catheters for repositioning and extraction were used. The access was transarterial as well as transvenous. Technical success was defined as complete removal of the foreign body. Results: The technical success rate was 92.1 % (35 of 38). In 17 patients an additional catheter was necessary to reposition the foreign body in order to make it accessible for the extraction catheter. In one case a stent was relocated and remodeled within the patient and was not extracted. In another case we experienced a dislocation of a small fragment of the port catheter into the distal parts of the pulmonary artery, which couldn't be extracted. A guide wire could not be extracted as it was already adhered with the vessel wall. Peri-interventional complications were not documented. Conclusion: The percutaneous extraction of dislocated intravascular foreign bodies is technically successful and poor of complications. Interventional therapy can avoid surgical removal.

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“…El riesgo de dañar la pared vascular es elevado. La técnica a utilizar depende de las características del propio stent: flexibilidad, rigidez y fuerza radial 6 .…”

Section: Figuraunclassified

Complicación de la retirada percutánea de un fragmento de catéter mediante triple lazo Goose-neck

et al. 2011

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Recibido el 13 de diciembre de 2010; aceptado el 14 de mayo de 2011 Disponible en Internet el 14 de julio de 2011La fractura de un reservorio (porth-catheter) colocado en la vena subclavia y la consecuente embolización del fragmento es una entidad rara, pero potencialmente grave 1 . La mayoría de los casos publicados se han desarrollado como consecuencia del síndrome de pinzamiento costoclavicular 2 . Existen descritas distintas técnicas para recuperar fragmentos de catéteres, como son la utilización de pinzas de biopsias, cestas de cálculos, guías tip-deflecting o la utilización de lazos 3 . Estos últimos se han descrito como un método útil, altamente efectivo y sin complicaciones.Presentamos el caso de un varón de 48 años que ingresa por presentar mal funcionamiento del catéter venoso central. Es portador de un reservorio por un cuadro de malnutrición debido a un síndrome de malabsorción. El reservorio, de 8 Fr de diámetro, se había colocado por vía percutánea en la subclavia derecha dos meses atrás. El paciente presentaba dolor en la cara anterior del tórax durante la administración de la nutrición parenteral. El examen con fluoroscopia demostró la fractura del catéter y un fragmento libre en la cava inferior.Con anestesia local y por abordaje inguinal derecho se colocó un introductor de 12 Fr, y con la ayuda de un lazo (Entrio ® , Bard, 18-20 mm) se atrapó el cuerpo extraño ( fig. 1). En el momento de llegar el fragmento al * Autor para correspondencia.Correo electrónico: alvarorevilla@yahoo.es (A.R. Calavia).Figura 1 Radiografía intraoperatoria que demuestra la captura del catéter por el sistema de lazo.

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Percutaneous Retrieval of Lost or Misplaced Intravascular Objects

Abstract: Percutaneous techniques for the extraction of intravascular foreign objects or for repositioning of dislocated endovascular stents are highly effective with a low rate of complications and should always be the primary method of choice.

Cited by 184 publications

References 24 publications

Retirada percutânea de corpo estranho intracardíaco com técnica original

Retirada percutânea de corpo estranho intracardíaco com técnica original

Interventional Removal of Intravascular Medical Devices: Methods and Technical Success

Complicación de la retirada percutánea de un fragmento de catéter mediante triple lazo Goose-neck

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