Retrieval of intravascular foreign bodies: experience in 32 cases.

Egglin, Thomas K.; Dickey, Kevin W.; Rosenblatt, Melvin; Pollak, Jeffrey

doi:10.2214/ajr.164.5.7717243

Cited by 135 publications

(96 citation statements)

References 21 publications

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“…Thus, in total retrieval succeeded in 35 of 37 attempts (94.6 %). This correlates with studies by Yang et al [18] that recorded a 91.7 % success rate, as well with the results of Egglin et al [17] with a 97 % rate of success. The study by Cheng et al with 92 patients, the largest to our knowledge, likewise achieved a 97.8 % successful retrieval rate [11].…”

supporting

confidence: 92%

“…In 28 out of 32 cases (87.5 %), Egglin et al employed a lasso catheter achieving a success rate of 97 %. Supplemental recovery systems such as forceps, Dormia baskets and special catheters had to be utilized in 25 % of cases in order to effect a successful retrieval [17]. In our study auxiliary material was required more frequently -in 17 of 38 cases (44.7 %).…”

mentioning

confidence: 66%

“…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].…”

mentioning

confidence: 99%

“…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]. However, unlike Dormia baskets and lasso catheters, forceps can grasp foreign bodies without a free end [17]. Utilization of a balloon catheter to retrieve intravascular foreign bodies is rarely described in the literature.…”

mentioning

confidence: 99%

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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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supporting

confidence: 92%

mentioning

confidence: 66%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Interventional Removal of Intravascular Medical Devices: Methods and Technical Success

Ayx

Goessmann

Hubauer

et al. 2016

Fortschr Röntgenstr

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“…Este dispositivo se considera de elección para la extracción de todo tipo de cuerpo extraño intravascular. Varios estudios han evaluado la eficacia y seguridad del sistema de lazo en el tratamiento de esta complicación 8,9 . Koseoglu et al publicaron una serie de 15 pacientes con cuerpos extraños intravasculares como fragmento de reservorios, guías, introductores y embolización de un coil 10 .…”

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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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Extramural vessel wall hematoma causing a reduced vessel diameter after coronary stenting: Diagnosis by intravascular ultrasound and treatment by stent implantation

Mahr

Haude

et al. 1998

Cathet. Cardiovasc. Diagn.

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Retrieval of intravascular foreign bodies: experience in 32 cases.

Cited by 135 publications

References 21 publications

Interventional Removal of Intravascular Medical Devices: Methods and Technical Success

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

Extramural vessel wall hematoma causing a reduced vessel diameter after coronary stenting: Diagnosis by intravascular ultrasound and treatment by stent implantation

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