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Transcatheter retrieval of embolised fractured peripherally inserted central catheter: a nightmare in very low birth weight preterm neonate. Cardiol Young 2022; 33:806-809. [PMID: 36047467 DOI: 10.1017/s1047951122002761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Peripherally inserted central catheters are commonly used for intravascular access in low birth weight neonates. Here, we describe a case of transcatheter retrieval of an embolised peripherally inserted central catheter line in the right ventricle extending to the left pulmonary artery in a preterm very low birth weight baby. To the best of our knowledge, this is the first case where transcatheter retrieval of embolised peripherally inserted central catheter line has been done from the left pulmonary artery in such a very low birth weight preterm neonate. Although retrieval of foreign body is common in adults and older children, very few case reports have documented successful retrieval of embolised peripherally inserted central catheter line in very low birth weight neonates using interventional techniques. Most of the cases in literature reported retrieval of an indwelling umbilical venous catheter rather than a peripherally inserted central catheter line as in our case. Also, none of these cases had the embolised fragment retrieved from the left pulmonary artery. This approach was technically very challenging as we were taking care of a 5-day old preterm neonate born at 32 weeks of gestation having very low birth weight (1100 g) with features of clinical sepsis, coagulopathy, and embolised catheter fragment extending from right ventricle to left pulmonary artery. The procedure was uneventful without any complication and the catheter was retrieved successfully.
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Tat E, Bitton-Faiwiszewski Y, Zilinyi R, Parikh SA. A Retained Intracardiac Catheter Contributing to Worsening Heart Failure and Atrial Fibrillation: Investigation and Management. JACC Case Rep 2021; 3:1849-1854. [PMID: 34917966 PMCID: PMC8642736 DOI: 10.1016/j.jaccas.2021.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 10/07/2021] [Accepted: 10/12/2021] [Indexed: 11/27/2022]
Abstract
A retained intracardiac catheter fragment left in situ for 2 years was incidentally found in a patient presenting with worsening heart failure and atrial fibrillation. This case describes the diagnostic evaluation of this rare event, with successful endovascular retrieval and resolution of his symptoms. (Level of Difficulty: Advanced.)
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Key Words
- AF, atrial fibrillation
- CVC, central venous catheter
- ECG, electrocardiogram
- LVEF, left ventricular ejection fraction
- MAUDE, Manufacturer and User Facility Device Experience
- RA, right atrium
- RHC, right heart catheterization
- RV, right ventricle
- Swan-Ganz catheter
- TR, tricuspid regurgitation
- TTE, transthoracic echocardiogram
- catheter fracture
- central venous catheter
- intracardiac foreign body
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Affiliation(s)
- Emily Tat
- Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA
| | | | - Robert Zilinyi
- Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA
| | - Sahil A Parikh
- Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA
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Adib SD, Lescan M, Renovanz M, Schuhmann MU, Trakolis L, Bongers M, Tatagiba M, Döbele A, Grözinger G. Intracardial Catheter Migration of a Ventriculoperitoneal Shunt: Pathophysiology and Interdisciplinary Management. World Neurosurg 2020; 135:222-227. [PMID: 31877393 DOI: 10.1016/j.wneu.2019.12.089] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 12/13/2019] [Accepted: 12/15/2019] [Indexed: 10/25/2022]
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4
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Talwar V, Pavithran K, Vaid A, Doval D. Spontaneous Fracture and Pulmonary Embolization of a Central Venous Catheter. J Vasc Access 2018. [DOI: 10.1177/112972980300400406] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The use of peripherally inserted central catheter is occasionally complicated by fracture and embolization of the catheter fragment. Here we report a 28 year old male with acute myeloid leukemia, who had spontaneous fracture of the central venous catheter and subsequent migration of the catheter fragment through the heart and into the lower lobe of the right lung. The catheter fragment was retrieved by retrograde femoral vein catheterization.
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Affiliation(s)
- V. Talwar
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi - India
| | - K. Pavithran
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi - India
| | - A.K. Vaid
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi - India
| | - D.C. Doval
- Department of Medical Oncology, Rajiv Gandhi Cancer Institute & Research Centre, New Delhi - India
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Elkhoury M, Boeckx W, Chahine E, Feghali M. Retrieval of Port-A Catheter Fragment from the Main and Right Pulmonary Arteries 3 Years after Dislodgment. J Vasc Access 2018. [DOI: 10.1177/112972980800900413] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Vascular access (VA) is one of the serious problems that chemotherapy recipient cancer patients face. Fractures of catheter and cardiac migration rarely occur; the catheter fragments migrate distally along the blood stream finally lodging anywhere in the vena cava, right atrium, right ventricle, or the main pulmonary artery or one of its branches. Percutaneous retrieval method is always suggested first.
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Affiliation(s)
- M.I. Elkhoury
- Department of General Surgery, Saint Georges Hospital University Medical Center in association with University of Balamand, Beirut - Lebanon (SGH-UMC), and Free University of Brussels - Belgium
| | - W.D. Boeckx
- Department of Plastic Surgery, Brugmann Hospital University Medical Center in association with Free University of Brussels - Belgium
| | - E.G. Chahine
- Department of General Surgery, Saint Georges Hospital University Medical Center in association with University of Balamand, Beirut - Lebanon (SGH-UMC), and Free University of Brussels - Belgium
| | - M.A. Feghali
- Department of Vascular Surgery, Saint Georges Hospital University Medical Center in association with University of Balamand, Beirut - Lebanon (SGH-UMC)
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Sharma A, Duraisamy S, Jagia P, Gulati GS. Rare Iatrogenic Cardiovascular Embolization Following Dialysis. Vasc Endovascular Surg 2017; 51:33-35. [PMID: 28100152 DOI: 10.1177/1538574416682173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Intracardiac or intrapulmonary dislodgement of dialysis catheter or guidewire coating is extremely rare. When present, it can be potentially lethal as it may get complicated by arrhythmias, myocardial or pulmonary artery rupture, valvular perforation, pulmonary thromboembolism, infarction, and infective endocarditis. Percutaneous removal should be attempted as an initial measure and is usually effective in most of the cases. We report 2 such cases, where in first patient it was the hemodialysis catheter which broke, with a large part migrating into the heart, while in second patient, it was the hydrophilic coating of the guidewire that migrated into the pulmonary arteries. Percutaneous retrieval of these foreign bodies was done successfully in both the cases.
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Affiliation(s)
- Arun Sharma
- 1 Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi, India
| | - Sharmila Duraisamy
- 1 Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi, India
| | - Priya Jagia
- 1 Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi, India
| | - Gurpreet S Gulati
- 1 Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi, India
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Yen HJ, Hwang B, Lee PC, Meng CCL. Transcatheter Retrieval of Different Types of Central Venous Catheter Fragment: Experience in 13 Cases. Angiology 2016; 57:347-53. [PMID: 16703195 DOI: 10.1177/000331970605700311] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In total, 13 patients, from April 1992 to November 2002 at this institution, had embolization caused by central venous catheter fragments including 4 peripherally-inserted central catheters (PICCs), 1 Hickman catheter, 1 Swan-Ganz catheter, and 7 port-A catheters. These dislodged fragments were percutaneously retrieved successfully in 12 patients. As each type of the central venous catheter has its distinct properties, the locations of embolization, detection, and retrieval methods differed.
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Affiliation(s)
- Hsiu-Ju Yen
- Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China
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Abstract
Although intravenous drug users report the breaking of a needle as a relatively common occurrence, central embolism of needle fragments occurs infrequently in the literature. Central needle embolism also poses a conundrum for the radiologist, as the needle may be easily overlooked when the clinical history is nonspecific. We present two cases of needle embolism to the lung, one complicated by inflammatory mass and progressive pleuritic chest pain requiring wedge resection. We hope that our experiences may increase radiologists’ and emergency physicians’ familiarity with this unusual cause of chest pain. The radiological findings are subtle and may be easily overlooked, particularly without thorough clinical history.
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Yousefshahi H, Bina P, Yousefshahi F. Permcath catheter embolization: a case report. Anesth Pain Med 2015; 5:e17978. [PMID: 25964881 PMCID: PMC4417505 DOI: 10.5812/aapm.17978] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2014] [Revised: 05/24/2014] [Accepted: 07/22/2014] [Indexed: 11/17/2022] Open
Abstract
Introduction: Nowadays, many types of intravascular devices and catheters are used in order to diagnose and treat diseases. Complications related to these instruments are the costs that doctors and patients have to pay to benefit from their advantages. Catheter embolization is one of these side effects. Patients with devices in their cardiopulmonary system are at risk for severe complications such as arrhythmias, pulmonary embolism, myocardial injuries, hemoptysis, thrombosis and perforation. Case Presentation: A 50-years-old woman, with a history of breast cancer, had a PermCath emplacement in right subclavian vein for a course of chemotherapy. The treatment for cancer seemed to be successful and the PermCath had remained in its position without complication, for a couple of years however, the catheter was founded broken and embolized to the right ventricle and the main left pulmonary artery, diagnosed by a chest X-ray study incidentally. Conclusions: It is better to remove the unused devices safely to prevent and decrease their possible complications.
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Affiliation(s)
- Hadi Yousefshahi
- Department of Cardiology, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Payvand Bina
- Department of Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Fardin Yousefshahi
- Department of Anesthesiology, Tehran University of Medical Sciences, Tehran, Iran
- Corresponding author: Fardin Yousefshahi, Department of Anesthesiology, Tehran University of Medical Sciences, P. O. Box: 1597856511, Tehran, Iran. Tel: +98-2188897761, Fax: +98-2188915959, E-mail:
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Rebahi H, El Adib A, Mouaffak Y, El Hattaoui M, Chaara A, Sadek H, Khouchani M, Mahmal L, Younous S. Rupture du cathéter et migration du fragment distal vers les artères pulmonaires : une complication rare des chambres à cathéter implantables. Rev Med Interne 2015; 36:42-6. [DOI: 10.1016/j.revmed.2013.08.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2013] [Revised: 08/02/2013] [Accepted: 08/17/2013] [Indexed: 11/25/2022]
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Wu CY, Fu JY, Feng PH, Kao TC, Yu SY, Li HJ, Ko PJ, Hsieh HC. Catheter fracture of intravenous ports and its management. World J Surg 2012; 35:2403-10. [PMID: 21882033 DOI: 10.1007/s00268-011-1200-x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Intravenous ports are widely used for oncology patients. However, catheter fractures may lead to the need for re-intervention. We aimed to identify the risk factors associated with catheter fractures. METHODS Between January 1 and December 31, 2006, we retrospectively reviewed the clinical data and plain chest films of 1,505 patients implanted with an intravenous port at Chang Gung Memorial Hospital. Different vascular sites were compared using the chi-square or Fisher's exact test for categorical variables, and the t test was used for continuous variables with normal distribution; P < 0.05 was considered statistically significant. RESULTS There were 59 and 1,448 procedures in the fracture and non-fracture groups, respectively. Monovariate analysis revealed that the risk factors for catheter fracture were as follows: large angle (P < 0.0001), female gender (P < 0.0008), subclavian route (P < 0.0001), and port type Arrow French (Fr.) 8.1 (P < 0.0001). Because these risk factors showed no interaction effects, they were all considered independent risk factors. When all factors were considered together, all risk factors, except angle and age, retained their statistical significance. CONCLUSIONS Most catheter fractures were caused by material weakness. If catheter fracture is confirmed, further intervention for port and catheter removal is recommended. Female gender, intravenous port implantation via the subclavian route, and the Arrow Fr. 8.1 port were found to be risk factors. Patients with these risk factors should be monitored closely to avoid catheter fractures.
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Affiliation(s)
- Ching-Yang Wu
- Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, 5 Fu-Shing Street, Kweishan, Taoyuan 333, Taiwan, People's Republic of China
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Abdel Aal AK, Soni J, Saddekni S, Hamed MF, Dubay DA. Repositioning of surgically placed peritoneovenous shunt catheter by forming "in situ" loop snare: case report and review of literature. Vasc Endovascular Surg 2011; 46:70-4. [PMID: 22156151 DOI: 10.1177/1538574411422278] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We describe a technique that allows repositioning of malfunctioning peritoneovenous shunt (PVS) catheters. We report a 67-year-old female with refractory ascites, who presented with malfunctioning PVS. The catheter tip was outside the superior vena cava (SVC), possibly in a small mediastinal vein, which makes its tip inaccessible to regular snares and retrieval devices. We used "in situ" loop snare technique to reposition the tip of the catheter into the inferior vena cava (IVC). In situ loop snare technique can be used to reposition malfunctioning PVS catheters caused by a kink or by malposition of its tip. The technique avoids surgical or interventional replacement of these catheters. This technique can be also used for retrieval of foreign body fragments that have no free ends and, therefore, cannot be captured by a snare or other retrieval devices.
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Affiliation(s)
- Ahmed Kamel Abdel Aal
- Department of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USA.
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Pathak K, Yadav D. Percutaneous removal of intracardiac and intravascular foreign bodies. Med J Armed Forces India 2011; 67:367-9. [PMID: 27365851 DOI: 10.1016/s0377-1237(11)60088-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2010] [Accepted: 03/31/2011] [Indexed: 10/16/2022] Open
Affiliation(s)
- Kamal Pathak
- Senior Advisor (Radiology & Interventional Radiology), Military Hospital (CTC), Pune - 40
| | - Deep Yadav
- Graded Specialist (Radiology), Military Hospital (CTC), Pune - 40
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Bonvini RF, Werner KD, Buettner HJ, Buergelin KH, Zeller T. Retrieval of lost coronary guidewires during challenging percutaneous coronary interventions. CARDIOVASCULAR REVASCULARIZATION MEDICINE 2011; 11:262.e7-10. [PMID: 20934661 DOI: 10.1016/j.carrev.2009.04.109] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2008] [Revised: 04/15/2009] [Accepted: 04/15/2009] [Indexed: 02/09/2023]
Abstract
INTRODUCTION The presence of symptomatic or asymptomatic intravascular/intracardiac foreign body (FB) is underreported in the literature, but it is more commonly encountered in clinical practice. Nowadays, losing a coronary stent or a guidewire has become a rare event. However, due to the constant increase in the total number of worldwide performed coronary interventions (PCI) and especially due to an increase also in the technical difficulties of these procedures (i.e., new devices+complex techniques), this kind of "lost FB complication" may again become clinically relevant. CASE REPORTS We report two cases where, during challenging PCIs, 0.014-in. guidewires broke, remaining firmly anchored in the coronary tree floating with their proximal part in the aorta. These wires could have been successfully retrieved with a dedicated three-dimensional snare device, which is specifically manufactured for facilitating this kind of retrieval interventions. CONCLUSIONS Intracoronary lost guidewires, if untreated, may lead to serious cardiovascular complications, suggesting that one should attempt every possible maneuver to retrieve them from the coronary circulation. By describing the peculiarity of the Entrio snare device, we finally suggest that this kind of dedicated three-dimensional snare device is an excellent tool at cardiologists' disposal for retrieving intracardiac and intravascular lost wires.
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Surov A, Wienke A, Carter JM, Stoevesandt D, Behrmann C, Spielmann RP, Werdan K, Buerke M. Intravascular Embolization of Venous Catheter—Causes, Clinical Signs, and Management: A Systematic Review. JPEN J Parenter Enteral Nutr 2009; 33:677-85. [PMID: 19675301 DOI: 10.1177/0148607109335121] [Citation(s) in RCA: 98] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Alexey Surov
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
| | - Andreas Wienke
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
| | - Justin M. Carter
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
| | - Dietrich Stoevesandt
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
| | - Curd Behrmann
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
| | - Rolf-Peter Spielmann
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
| | - Karl Werdan
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
| | - Michael Buerke
- From the Department of Radiology, Department of Biology, and Department of Cardiology and Intensive Care Medicine, Martin Luther University, Halle, Germany
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Blazicek H, Oder W. Recurrent fever in patient in a minimally responsive state: An unusual origin of infection. Brain Inj 2009; 21:339-41. [PMID: 17453763 DOI: 10.1080/02699050701210459] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Embolization of a severed tube of a ventriculo-atrial shunt into the heart is a rare but severe and potentially lethal complication of aresorptive hydrocephalus therapy in patients with severe neurological damage. A rare case is presented of a 53-year-old woman who suffered a severe subarachnoidal haemorrhage. After infection of the first shunting system, the patient underwent an exchange of the system, but repeatedly showed clinical and laboratory signs of infection which failed to improve despite several antibiotic treatments. This case illustrates that, although the patient was in poor neurological and medical condition, it is beneficial to remove the accidentally washed-in foreign body for two reasons. On the one hand to prevent avoidable life-threatening incidents, on the other hand to gain stable medical condition which will allow the patient to participate in neurorehabilitative treatment.
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Affiliation(s)
- Hannes Blazicek
- Rehabilitation Centre for Head Injury Patients, Meidling, Austrian Worker's Compensation Board (AUVA). Vienna. Austria
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Intravascular foreign bodies: danger of unretrieved fragmented medical devices. J Artif Organs 2009; 12:80-9. [PMID: 19536624 DOI: 10.1007/s10047-009-0447-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2008] [Accepted: 01/08/2009] [Indexed: 10/20/2022]
Abstract
A warning on the danger of unretrieved device fragments and recommendations to mitigate the danger were issued by the Food and Drug Administration in January 2008. The causes of intravascular foreign bodies are classified into three main categories: improper manipulation and usage, device defects, and others, such as patient and anatomical factors. Device failure after long-term use is rarely predicted at the time of approval, since device abnormality is rarely experienced in animal studies and clinical trials conducted during development of the device. Stent fracture due to metal fatigue is one example. Complex complications could occur from simultaneous use of two or more devices with diverse characteristics. The success rate of percutaneous retrieval of intravascular foreign bodies has improved with the advances in commercially available devices. However, the procedure is not always successful and sometimes surgical removal becomes necessary. Appropriate device selection and acquisition of experience in using the device are important. When an intravascular foreign body cannot be retrieved, the risk of complication could be high. Magnetic resonance imaging examination sometimes causes adverse events, including burns due to the heat generated by metal movement. Such information should be correctly recorded. Furthermore, it is necessary to provide patients with adequate information about the characteristics of implanted devices and unretrieved fragments. We reviewed the literature on unretrieved medical device fragments and include articles that describe the Japanese experience.
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Bonvini RF, Rastan A, Sixt S, Noory E, Beschorner U, Leppanen O, Mach F, Schwarzwälder U, Bürgelin K, Zeller T. Percutaneous retrieval of intravascular and intracardiac foreign bodies with a dedicated three-dimensional snare: A 3-year single center experience. Catheter Cardiovasc Interv 2009; 74:939-45. [DOI: 10.1002/ccd.22074] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Tokarz SR, Aktas MK, Kroening D, Sawyer TJ, Daubert JP, Huang DT, Schwarz KQ. Identification of a Retained Intravascular Wire by Three-Dimensional Transesophageal Echocardiography. Echocardiography 2009; 26:463-4. [DOI: 10.1111/j.1540-8175.2008.00817.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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20
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Chong JY, Kim JM, Cho DC, Kim CH. Upward migration of distal ventriculoperitoneal shunt catheter into the heart: case report. J Korean Neurosurg Soc 2008; 44:170-3. [PMID: 19096671 DOI: 10.3340/jkns.2008.44.3.170] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2008] [Accepted: 08/10/2008] [Indexed: 11/27/2022] Open
Abstract
Ventriculoperitoneal (VP) shunt is commonly and effectively used to treat hydrocephalus. Intracardiac migration of the shunt catheter is a rare complication. A 68-year-old woman underwent ventriculoperitoneal shunting for hydrocephalus secondary to subarachnoid hemorrhage due to anterior communicating artery aneurysm rupture. Two weeks after the shunt surgery, she had suffered from the abdominal pain. Plain chest x-rays, computed tomography, and echocardiography revealed the distal catheter which was in the right ventricle of the heart. We tried to remove the catheter through the internal jugular vein by fluoroscopic guidance. But, the distal catheter was kinked and knotted; therefore, we failed to withdraw the catheter. After then, we punctured the right femoral vein and pulled down the multi-knotted shunt catheter to the femoral vein using the snare catheter. Finally, we removed the knotted distal catheter via the femoral vein and a new distal catheter was placed into the peritoneal cavity. We report a case in which the distal catheter of the VP shunt migrated into the heart via the internal jugular vein. We emphasize the importance of careful and proper placement of the distal catheter during the tunneling procedure to prevent life-threatening complications.
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Affiliation(s)
- Jong Yun Chong
- Department of Neurosurgery, Hanyang University Guri Hospital, Guri, Korea
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Burzotta F, Romagnoli E, Trani C. Percutaneous removal of an embolized port catheter: Description of a new coaxial recovery technique including a case-report. Catheter Cardiovasc Interv 2008; 72:289-93. [DOI: 10.1002/ccd.21573] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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22
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Chen PC, Chen CJ. Removal of Retained Port-A Catheter in Central Lines in a Pediatric Population. Tzu Chi Med J 2007. [DOI: 10.1016/s1016-3190(10)60023-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Zurera LJ, Canis M, Espejo JJ, García-Revillo J, Delgado F, Benito A. [Practical aspects in the percutaneous extraction of foreign bodies using a Goose-Neck Snare]. RADIOLOGIA 2007; 49:247-54. [PMID: 17594884 DOI: 10.1016/s0033-8338(07)73766-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To present our clinical experience in the extraction of different foreign bodies (from vascular or other sites) using a goose-neck snare in 13 patients, with emphasis on practical and technical aspects used during the procedures. MATERIAL AND METHODS A total of 13 foreign bodies, including 9 intravascular objects and 4 in other locations, were included. The intravascular foreign bodies were stents (n = 2), coils (n = 2), fragments of broken central venous catheters (n = 3), and fragments of broken balloon catheters (n = 2). The nonvascular foreign bodies were fragments of broken double-J catheters (n = 2), one double-J catheter located entirely within the calyces of the kidney, and a fragment of a broken metallic guide wire in an intrahepatic bile duct. Goose-Neck Snares of different diameters (depending on the location) were used to extract the foreign bodies. Forceps were used as an auxiliary device in one patient with a fragment of double-J catheter, and in another case with a catheter fragment in a pulmonary vein, a pigtail catheter was also used to move the fragment and facilitate its extraction with the Goose-Neck Snare. RESULTS All of the foreign bodies were successfully extracted except a transjugular intrahepatic portosystemic shunt that migrated to the right heart cavities and was correctly repositioned in the right brachiocephalic venous trunk. No complications of any kind were seen during the procedures. CONCLUSIONS The Goose-Neck Snare is very useful, safe, and versatile for the extraction of different types of foreign bodies in different territories. Especially in vascular territories, it is necessary to have ample knowledge about and experience in the different techniques used for catheterization.
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Affiliation(s)
- L J Zurera
- Servicio de Radiodiagnóstico, Hospital Reina Sofía, Córdoba, Spain.
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24
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Pérez-Díez D, Salgado-Fernández J, Vázquez-González N, Calviño-Santos R, Vázquez-Rodríguez JM, Aldama-López G, García-Barreiro JJ, Castro-Beiras A. Percutaneous Retrieval of a Lost Guidewire That Caused Cardiac Tamponade. Circulation 2007; 115:e629-31. [PMID: 17576875 DOI: 10.1161/circulationaha.107.689000] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Diego Pérez-Díez
- Department of Cardiology, Hospital Juan Canalejo, Xubias de Arriba 84, 15006 A Coruña, Spain
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25
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Harikrishnan S, Rajeev E, Nair K, Tharakan J. Retrieval of friable catheter fragments. Int J Cardiol 2006; 106:282-4. [PMID: 16321709 DOI: 10.1016/j.ijcard.2004.12.066] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2004] [Accepted: 12/31/2004] [Indexed: 11/17/2022]
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26
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D'Silva K, Dwivedi AJ, Shetty A, Ashare R. Pinch-off Syndrome: A Rare Complication of Totally Implantable Venous Devices. Breast J 2005; 11:83-4. [PMID: 15647089 DOI: 10.1111/j.1075-122x.2005.21565.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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27
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Liu JC, Tseng HS, Chen CY, Chern MS, Chang CY. Percutaneous retrieval of 20 centrally dislodged Port-A catheter fragments. Clin Imaging 2004; 28:223-9. [PMID: 15158231 DOI: 10.1016/s0899-7071(03)00119-0] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2003] [Accepted: 03/27/2003] [Indexed: 10/26/2022]
Abstract
A total of 20 patients with centrally embolized Port-A catheter fragments underwent the percutaneous retrieval procedures at our hospital. The causes of the dislodgement of these catheters included bad connection between the port and catheter, angulation or distortion at the anastomosis site, severing the catheter during insertion and removal of the catheter, improper catheter position and fatigue of the catheter. Consequently, improper procedure handling by the inexperienced surgeons could be considered as the most frequent cause of embolization. The percutaneous retrieval procedures were successful in all centrally embolized fragments. Of 20 successful retrievals, 16 were performed will loop snare catheters and 4 with Dormia basket retrievers.
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Affiliation(s)
- Juhn-Cherng Liu
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan
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28
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Alkadhi H, Wildermuth S, Desbiolles L, Schertler T, Crook D, Marincek B, Boehm T. Vascular Emergencies of the Thorax after Blunt and Iatrogenic Trauma: Multi–Detector Row CT and Three-dimensional Imaging. Radiographics 2004; 24:1239-55. [PMID: 15371605 DOI: 10.1148/rg.245035728] [Citation(s) in RCA: 85] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Multi-detector row computed tomographic (CT) angiography is an effective modality for vascular imaging in the thorax. It allows acquisition of high-resolution data sets during a single breath hold, making it the preferred method for evaluation of patients with acute vascular disease. In contrast to conventional angiography, multirow CT angiography not only depicts the vessels but also allows assessment of adjacent structures. Multirow CT angiography with two- and three-dimensional reformation can be used to diagnose vascular emergencies of the thorax after blunt and iatrogenic trauma. These include incomplete and complete aortic rupture; traumatic aortic dissection; arterial dissection and rupture after minor trauma in patients with Ehlers-Danlos syndrome; traumatic intramural hematoma; pseudoaneurysm after endovascular repair; injuries due to Swan-Ganz catheters; complications of central venous cannulation, pacemaker implantation, and percutaneous pericardial drainage; and foreign-body embolism. The diagnoses can be established with multirow CT angiography in the emergency department. Thus, the time to diagnosis can be considerably decreased by obviating conventional angiography. Knowledge of the CT findings in various vascular conditions is essential to make use of multirow CT angiography in combination with two- and three-dimensional reformation as an efficient and accurate diagnostic tool in emergency radiology.
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MESH Headings
- Adult
- Aged
- Aneurysm/diagnostic imaging
- Aneurysm/etiology
- Aortic Dissection/diagnostic imaging
- Aortic Dissection/etiology
- Aneurysm, False/diagnostic imaging
- Aneurysm, False/etiology
- Angiography/instrumentation
- Angiography/methods
- Aorta/injuries
- Aortography/methods
- Blood Vessels/injuries
- Diagnosis, Differential
- Ehlers-Danlos Syndrome/complications
- Ehlers-Danlos Syndrome/diagnosis
- Electrodes, Implanted/adverse effects
- Emergencies
- Female
- Foreign-Body Migration/diagnostic imaging
- Heart Ventricles/injuries
- Humans
- Iatrogenic Disease
- Imaging, Three-Dimensional
- Male
- Middle Aged
- Pacemaker, Artificial
- Pericardiocentesis/adverse effects
- Postoperative Complications/diagnostic imaging
- Postoperative Complications/etiology
- Pulmonary Embolism/diagnostic imaging
- Pulmonary Embolism/etiology
- Thoracic Injuries/complications
- Thoracic Injuries/diagnostic imaging
- Tomography, Spiral Computed/instrumentation
- Tomography, Spiral Computed/methods
- Wounds, Nonpenetrating/complications
- Wounds, Nonpenetrating/diagnostic imaging
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Affiliation(s)
- Hatem Alkadhi
- Institute of Diagnostic Radiology, University Hospital Zurich, Switzerland
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29
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Nellore A, Trerotola SO. Delayed Migration of a Catheter Fragment from the Left to the Right Pulmonary Artery. J Vasc Interv Radiol 2004; 15:497-9. [PMID: 15126661 DOI: 10.1097/01.rvi.0000124948.24134.86] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
A 45-year-old woman is described in whom an intrapulmonary venous access catheter fragment, originally left in place when discovered 1 year after port removal, migrated from one side to the other 2 years later. The patient underwent uncomplicated percutaneous removal of the fragment via the right internal jugular vein. The observed fragment mobility adds further argument for removing all intravenous catheter fragments, even if they have embolized to the pulmonary artery.
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Affiliation(s)
- Anoma Nellore
- Department of Radiology, University of Pennsylvania Medical Center, 1 Silverstein, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA
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30
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Steiner B, Wojtunik H, Kessler M, Bambauer R, Mehlmann U, Langer HJ. Transluminal Removal of an Embolized Venous Catheter Fragment with Simple Means: A Case Report. Ther Apher Dial 2003; 7:510-2. [PMID: 15018236 DOI: 10.1046/j.1526-0968.2003.00103.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Vascular catheters are associated with complications like infection, thrombosis and stenosis. The embolization of a venous catheter fragment is a rare complication. This report presents a successful transluminal removal of an embolized catheter fragment in a 87-year-old patient who underwent on operative revision with renewed resection and postoperative multiorgan failure. The patient needed a large-bore catheter due to acute renal failure. By replacing the central venous catheter using the Seldinger technique a catheter fragment embolized in the right ventricle. This catheter fragment was removed with a Dormia basket.
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Affiliation(s)
- B Steiner
- Department of Internal Medicine, St. Josef Hospital, Saarbrücken, Germany
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31
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Galloway S, Bodenham A. Safe removal of long-term cuffed Hickman-type catheters. HOSPITAL MEDICINE (LONDON, ENGLAND : 1998) 2003; 64:20-3. [PMID: 12572330 DOI: 10.12968/hosp.2003.64.1.1839] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The use of long-term venous access devices is increasing. Most devices are anchored by a cuff, usually made of Dacron. The disadvantage of such cuffs is that a cut-down procedure is required for their removal. This article presents a simple technique for removal of Hickman-type catheters, emphasizing avoidance of complications.
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32
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Van Den Akker-Berman LM, Pinzur S, Aydinalp A, Brezins M, Gellerman M, Elami A, Roguin N. Uneventful 25-year course of an intracardiac intravenous catheter fragment in the right heart. J Interv Cardiol 2002; 15:421-3. [PMID: 12440190 DOI: 10.1111/j.1540-8183.2002.tb01080.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
We describe a patient with an intracardiac intravenous catheter fragment in the right heart that was found during fluoroscopy. The catheter fragment had broken off from an intravenous catheter inserted 25 years previously when the patient was admitted after a road accident. There were no complications during these years. The fragment was removed during coronary bypass surgery. Other cases of intracardiac foreign bodies have been described, some causing complications even after many years. Uninfected, these can be removed easily with local interventional techniques. Removal of an infected foreign body per cardiotomy has a much higher mortality risk.
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33
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Casserly IP, Goldstein JA, Rogers JH, Lasala JM. Paradoxical embolization of a fractured guidewire: successful retrieval from left atrium using a snare device. Catheter Cardiovasc Interv 2002; 57:34-8. [PMID: 12203924 DOI: 10.1002/ccd.10261] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
In adults, paradoxical embolization of catheters or guidewire fragments related to central venous catheterization is a rare phenomenon. Reports of successful percutaneous retrieval of foreign bodies from the left atrium is also rare. We describe the successful percutaneous retrieval of a fractured guidewire that had undergone paradoxical embolization to the left atrium in an adult patient.
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Affiliation(s)
- Ivan P Casserly
- Division of Cardiovascular Medicine, Barnes-Jewish Hospital, Washington University School of Medicine, Saint Louis, Missouri 63110, USA.
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34
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Frazier JL, Wang PP, Patel SH, Benson JE, Cameron DE, Hoon AH, Avellino AM. Unusual Migration of the Distal Catheter of a Ventriculoperitoneal Shunt into the Heart: Case Report. Neurosurgery 2002. [DOI: 10.1227/00006123-200209000-00042] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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35
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Unusual Migration of the Distal Catheter of a Ventriculoperitoneal Shunt into the Heart: Case Report. Neurosurgery 2002. [DOI: 10.1097/00006123-200209000-00042] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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36
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Thanigaraj S, Panneerselvam A, Yanos J. Retrieval of an IV catheter fragment from the pulmonary artery 11 years after embolization. Chest 2000; 117:1209-11. [PMID: 10767267 DOI: 10.1378/chest.117.4.1209] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
The use of a peripherally inserted central catheter (PICC) is occasionally complicated by intravascular fracture and central embolization of the catheter fragment. We present a patient in whom a PICC fragment was retrieved from the pulmonary artery 11 years after embolization following its incidental detection. Despite a history of IV drug abuse and mitral regurgitation, this patient remained asymptomatic and without complications. The catheter fragment was retrieved since the patient was believed to be at risk for endocarditis. This may be the longest duration reported of an embolized catheter fragment that was successfully removed. As the natural history of asymptomatic-retained central venous foreign bodies remains unclear, the decision to remove them should be individualized. In selected cases, these foreign bodies may be retrieved without complications even several years after embolization.
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Affiliation(s)
- S Thanigaraj
- Cardiovascular Division, Washington University, St. Louis, MO 63110, USA.
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37
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Massin M, Lombet J, Rigo J. Percutaneous retrieval of broken silastic catheter from the left atrium in a critically Ill premature infant. CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS 1997; 42:409-11. [PMID: 9408624 DOI: 10.1002/(sici)1097-0304(199712)42:4<409::aid-ccd15>3.0.co;2-e] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
A critically ill premature neonate (birthweight 1,395 g, gestational age 30 wk) had a broken silastic catheter lodged in the left atrium. We successfully retrieved the foreign body by percutaneous approach using a helical basket catheter under echocardiographic control. Such a therapeutical option for a broken, lightly radiopaque catheter has not been previously described in very low birthweight, critically ill infants.
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Affiliation(s)
- M Massin
- Department of Pediatrics, University of Liége, Belgium
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38
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Savader SJ, Brodkin J, Osterman FA. In situ formation of a loop snare for retrieval of a foreign body without a free end. Cardiovasc Intervent Radiol 1996; 19:298-301. [PMID: 8755090 DOI: 10.1007/bf02577656] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
A technique is described that allowed percutaneous retrieval of an endoscopically placed, obstructed biliary stent using loop snare capture of an angled hydrophilic wire which was wrapped around the stent initially.
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Affiliation(s)
- S J Savader
- Russell H. Morgan Department of Radiology and Radiological Sciences, Blalock 545, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USA
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39
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Bui BT, Oliva VL, Ghattas G, Daloze P, Bourdon F, Carignan L. Percutaneous removal of a biliary stent after acute spontaneous duodenal perforation. Cardiovasc Intervent Radiol 1995; 18:200-2. [PMID: 7648600 DOI: 10.1007/bf00204152] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
A 38-year-old woman was treated for malignant stricture by the endoscopic placement of a biliary endoprosthesis. She developed a large retroperitoneal biloma secondary to acute duodenal perforation by the stent. We describe the successful percutaneous retrieval of the biliary stent through a retroperitoneal approach which also permitted drainage of the biloma.
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Affiliation(s)
- B T Bui
- Department of Radiology, Hôpital Notre-Dame, Montréal, Québec, Canada
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40
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Huggon IC, Qureshi SA, Reidy J, Dos Anjos R, Baker EJ, Tynan M. Percutaneous transcatheter retrieval of misplaced therapeutic embolisation devices. Heart 1994; 72:470-5. [PMID: 7818967 PMCID: PMC1025618 DOI: 10.1136/hrt.72.5.470] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
OBJECTIVE To assess the incidence and subsequent management of misplaced devices as a complication of therapeutic embolisation procedures. DESIGN Retrospective review of case notes, cardiac catheterisation reports, and angiograms. SETTING Tertiary referral centre for congenital heart disease. PATIENTS 205 consecutive children and adults undergoing therapeutic embolisation for congenital heart disease in the 10 years up to 1 April 1993. This group had 231 therapeutic embolisation procedures at 241 sites using coils, umbrella devices, or detachable balloons. MAIN OUTCOME MEASURES Incidences of misplacement and retrieval of the device; morbidity and mortality. RESULTS The incidence of misplacement was 3% (10/332) of devices deployed and 4.3% (10/231) of procedures performed. Retrieval from distal pulmonary arteries was not attempted in two patients, but transcatheter retrieval of coils and umbrellas from systemic and pulmonary vessels, using snares or retrieval baskets, was successful in the remaining eight. There were no deaths or serious sequelae related to the procedure, but one patient required femoral arteriotomy for removal of an umbrella device retrieved only as far as the groin. In four of the five most recent cases, the misplaced device was retrieved and the therapeutic embolisation was completed at the same procedure. CONCLUSIONS Misplacement of a device during therapeutic embolisation is a recognised complication that can be satisfactorily dealt with by transcatheter retrieval without recourse to surgery. For retrieval to be successful it is important to have a wide selection of retrieval equipment available and to be conversant with its use.
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Affiliation(s)
- I C Huggon
- Department of Paediatric Cardiology and Radiology, Guy's Hospital, London
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41
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Ferral H, Kimura Y, Amplatz K. Retrieval of an entrapped guide wire with a braiding maneuver. J Vasc Interv Radiol 1994; 5:649-51. [PMID: 7646615 DOI: 10.1016/s1051-0443(94)71575-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Affiliation(s)
- H Ferral
- Department of Radiology, Instituto Nacional de la Nutrición, Mexico City, Mexico
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42
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Cekirge S, Weiss JP, Foster RG, Neiman HL, McLean GK. Percutaneous retrieval of foreign bodies: experience with the nitinol Goose Neck snare. J Vasc Interv Radiol 1993; 4:805-10. [PMID: 8281004 DOI: 10.1016/s1051-0443(93)71978-8] [Citation(s) in RCA: 72] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
PURPOSE The authors present their experience with the nitinol Goose Neck snare system in the retrieval of retained foreign bodies in 20 patients. PATIENTS AND METHODS Foreign bodies were located in the vascular system in 13 patients, urinary tract in four, biliary system in one, gastrointestinal tract in one, and the peritoneal space in one. All retrievals were performed with use of standard angiographic/interventional techniques. RESULTS Success was achieved in all cases without attendant complications. Foreign bodies removed included catheter and guide-wire fragments, an embolization coil, broken or occluded double pigtail catheters, a Wallstent, and a surgical laparotomy sponge. CONCLUSION All procedures were performed quickly, safely, and without difficulty. Because of its excellent torque control, positive grasping capacity, excellent radiopacity, lack of traumatic effect, and availability in different sizes appropriate for use in a wide variety of difficult anatomic spaces, the authors recommend that this device be considered the first choice for all foreign body retrieval procedures.
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Affiliation(s)
- S Cekirge
- Department of Radiology, Western Pennsylvania Hospital, Pittsburgh 15224
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43
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44
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Foreign materials found in the cardiovascular system after instrumentation or surgery (Including a guide to their light microscopic identification). Cardiovasc Pathol 1993; 2:157-85. [DOI: 10.1016/1054-8807(93)90001-i] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/1993] [Accepted: 03/09/1993] [Indexed: 11/18/2022] Open
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45
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Ammann ME, Winkelbauer F, Karnel F. Percutaneous retrieval of embolized intravascular catheter fragment. JPEN J Parenter Enteral Nutr 1993; 17:100-1. [PMID: 8437316 DOI: 10.1177/014860719301700126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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46
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Hehir DJ, Cross KS, Kirkham R, Moore DJ, Shanik DG. Foreign body complications of central venous catheterisation in critically ill patients. Ir J Med Sci 1992; 161:49-51. [PMID: 1517056 DOI: 10.1007/bf02942083] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
In three critically ill patients, central venous catheter--associated foreign bodies were identified while the patients were in the intensive care unit. Two patients had fragments of retained catheter; in the third patient a guide-wire was lost within the vascular tree. The catheter fragments were associated with clinical symptoms while side effects were not observed with loss of the guide-wire. All three foreign bodies were removed without complications.
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Affiliation(s)
- D J Hehir
- Department of Vascular Surgery, St. James' Hospital, Dublin
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47
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48
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Balasundaram S, Khougeer F, Duran C, von Sinner W. Removal of intravenous catheter fragment from the right atrium. Ann Saudi Med 1991; 11:595-6. [PMID: 17590803 DOI: 10.5144/0256-4947.1991.595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- S Balasundaram
- Department of Cardiovascular Diseases and Department of Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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49
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Ames TR, Hunter DW, Caywood DD. Percutaneous transvenous removal of a broken jugular catheter from the right ventricle of a foal. Equine Vet J 1991; 23:392-3. [PMID: 1959533 DOI: 10.1111/j.2042-3306.1991.tb03745.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- T R Ames
- Department of Clinical and Population Sciences, College of Veterinary Medicine, University of Minnesota, St. Paul 55108
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50
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Dondelinger RF, Lepoutre B, Kurdziel JC. Percutaneous vascular foreign body retrieval: experience of an 11-year period. Eur J Radiol 1991; 12:4-10. [PMID: 1999209 DOI: 10.1016/0720-048x(91)90124-e] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Over an 11-year period, percutaneous retrieval of intravascular foreign bodies was performed in 12 patients, using urological forceps and retrieval baskets. No clinically significant complication occurred, success rate was 100%. Review of 176 cases from the literature showed a success rate of 90%.
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Affiliation(s)
- R F Dondelinger
- Department of Radiology, Centre Hospitalier, Luxembourg, Grand Duchy of Luxembourg
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