Percutaneous Retrieval of Chronic Intravascular Foreign Bodies

Clare Savage, Orhan S. Ozkan, Eric M. Walser, Dongfang Wang, Joseph B. Zwischenberger

Research output: Contribution to journalReview article

34 Scopus citations

Abstract

To evaluate the feasibility of intravascular retrieval of chronic foreign bodies, we retrospectively reviewed an 8 year experience (1993-2001) of percutaneous retrieval of chronically retained intravascular foreign bodies (n = 6). In 6 of 6 cases (4 catheter fragments, 2 guidewires), 5-90 days elapsed before retrieval via the femoral or internal jugular vein. Under fluoroscopy, we determined the foreign body's course, position and size. A guidewire was advanced through a multipurpose catheter to the foreign body. The multipurpose catheter was replaced with a gooseneck snare catheter and the snare advanced to grasp and remove the foreign body. Percutaneous retrieval was successful in all 6 cases. One patient experienced mild hemoptysis, which resolved within 24 hr of observation. No patient experienced long-term sequelae. Given the potential life-threatening complications from intravascular foreign bodies and the low complication rate from percutaneous retrieval, we recommend extraction of the foreign body even if it is asymptomatic in the chronic setting (> 24 hr).

Original languageEnglish (US)
Pages (from-to)440-442
Number of pages3
JournalCardioVascular and Interventional Radiology
Volume26
Issue number5
DOIs
StatePublished - Jan 1 2003

Keywords

  • Catheters and catheterization
  • Complications
  • Foreign body embolization
  • Guidewire
  • Interventional procedures

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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