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Published in: CardioVascular and Interventional Radiology 1/2007

01-02-2007 | CLINICAL INVESTIGATION

Percutaneous Retrieval of Misplaced Intravascular Foreign Objects with the Dormia Basket: An Effective Solution

Authors: Rahul Sheth, Vimal Someshwar, Gireesh Warawdekar

Published in: CardioVascular and Interventional Radiology | Issue 1/2007

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Abstract

Purpose

We report our experience of the retrieval of intravascular foreign body objects by the percutaneous use of the Gemini Dormia basket.

Methods

Over a period of 2 years we attempted the percutaneous removal of intravascular foreign bodies in 26 patients. Twenty-six foreign bodies were removed: 8 intravascular stents, 4 embolization coils, 9 guidewires, 1 pacemaker lead, and 4 catheter fragments. The percutaneous retrieval was achieved with a combination of guide catheters and the Gemini Dormia basket.

Results

Percutaneous retrieval was successful in 25 of 26 patients (96.2%). It was possible to remove all the intravascular foreign bodies with a combination of guide catheters and the Dormia basket. No complication occurred during the procedure, and no long-term complications were registered during the follow-up period, which ranged from 6 months to 32 months (mean 22.4 months overall).

Conclusion

Percutaneous retrieval is an effective and safe technique that should be the first choice for removal of an intravascular foreign body.
Literature
1.
go back to reference Thomas J, Sinclair-Smith B, Bloomfield D, Davachi A (1964) Non-surgical retrieval of a broken segment of steel spring guide from right atrium and inferior vena cava. Circulation 30:106–108PubMed Thomas J, Sinclair-Smith B, Bloomfield D, Davachi A (1964) Non-surgical retrieval of a broken segment of steel spring guide from right atrium and inferior vena cava. Circulation 30:106–108PubMed
2.
go back to reference Dotter CT, Rosch J, Bilbao MK (1971) Transluminal extraction of catheter and guide fragments from the heart and great vessels: 29 collected cases. AJR Am J Roentgenol 111:467–472 Dotter CT, Rosch J, Bilbao MK (1971) Transluminal extraction of catheter and guide fragments from the heart and great vessels: 29 collected cases. AJR Am J Roentgenol 111:467–472
3.
go back to reference Uflacker R, Lima S, Melichar AC (1986) Intravascular foreign bodies: Percutaneous retrieval. Radiology 160:731–735PubMed Uflacker R, Lima S, Melichar AC (1986) Intravascular foreign bodies: Percutaneous retrieval. Radiology 160:731–735PubMed
4.
go back to reference Egglin TK, Dickey KW, Rosenblatt M, Pollak JS (1995) Retrieval of intravascular foreign bodies: Experience in 32 cases. AJR Am J Roentgenol 164:1259–1264PubMed Egglin TK, Dickey KW, Rosenblatt M, Pollak JS (1995) Retrieval of intravascular foreign bodies: Experience in 32 cases. AJR Am J Roentgenol 164:1259–1264PubMed
5.
go back to reference Curry JL (1969) Recovery of detached intravascular catheter or guidewire fragments: A proposed method. AJR Am J Roentgenol 105:894–896 Curry JL (1969) Recovery of detached intravascular catheter or guidewire fragments: A proposed method. AJR Am J Roentgenol 105:894–896
6.
go back to reference Gabelmann A, Kramer S, Gorich J (2001) Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol 176:1509–1513PubMed Gabelmann A, Kramer S, Gorich J (2001) Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol 176:1509–1513PubMed
7.
go back to reference Burri C, Henkemeyer H, Passler HH (1971) Katheterembolien. Schweiz Med Wochenschr 101:1575–1577PubMed Burri C, Henkemeyer H, Passler HH (1971) Katheterembolien. Schweiz Med Wochenschr 101:1575–1577PubMed
8.
go back to reference Druskin MS, Siegel DD (1963) Bacterial contamination of indwelling intravenous polyethylene catheter. JAMA 185:966–970PubMed Druskin MS, Siegel DD (1963) Bacterial contamination of indwelling intravenous polyethylene catheter. JAMA 185:966–970PubMed
9.
go back to reference Prahlow JA, Obryant TJ, Barnard JJ (1997) Cardiac perforation due to Wallstent embolization: A fatal complication of the transjugular intrahepatic portosystemic shunt procedure. Radiology 205:170–172PubMed Prahlow JA, Obryant TJ, Barnard JJ (1997) Cardiac perforation due to Wallstent embolization: A fatal complication of the transjugular intrahepatic portosystemic shunt procedure. Radiology 205:170–172PubMed
10.
go back to reference Fisher RG, Ferreyro R (1978) Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. AJR Am J Roentgenol 130:541–548PubMed Fisher RG, Ferreyro R (1978) Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. AJR Am J Roentgenol 130:541–548PubMed
11.
go back to reference Bernhardt LC, Wegner GP, Mendenhall JT (1970) Intravenous catheter embolization of the pulmonary artery. Chest 57:329–332PubMed Bernhardt LC, Wegner GP, Mendenhall JT (1970) Intravenous catheter embolization of the pulmonary artery. Chest 57:329–332PubMed
12.
go back to reference Richardson JD, Grover FL, Trinkle JK (1974) Intravenous catheter emboli: Experience with 20 cases and collective review. Am J Surg 128:722–727PubMedCrossRef Richardson JD, Grover FL, Trinkle JK (1974) Intravenous catheter emboli: Experience with 20 cases and collective review. Am J Surg 128:722–727PubMedCrossRef
13.
go back to reference Doering RB, Stemmer EA, Connolly JE (1967) Complications of indwelling venous catheters with particular reference to catheter embolus. Am J Surg 114:259–266PubMedCrossRef Doering RB, Stemmer EA, Connolly JE (1967) Complications of indwelling venous catheters with particular reference to catheter embolus. Am J Surg 114:259–266PubMedCrossRef
14.
go back to reference Caron NR, Demmy TL, Curtis JJ (1994) Bronchial erosion by an indwelling central venous catheter. Chest 106:1917–1918PubMed Caron NR, Demmy TL, Curtis JJ (1994) Bronchial erosion by an indwelling central venous catheter. Chest 106:1917–1918PubMed
15.
go back to reference Savage C, Ozkan OS, Walser EM, Wang D, Zwischenberger JB (2003) Percutaneous retrieval of chronic intravascular foreign bodies. Cardiovasc Intervent Radiol 26:440–442PubMedCrossRef Savage C, Ozkan OS, Walser EM, Wang D, Zwischenberger JB (2003) Percutaneous retrieval of chronic intravascular foreign bodies. Cardiovasc Intervent Radiol 26:440–442PubMedCrossRef
16.
go back to reference Dondelinger RF, Lepoutre B, Kurdziel JC (1991) Percutaneous vascular foreign body retrieval: Experience of an 11-year period. Eur J Radiol 12:4–10PubMedCrossRef Dondelinger RF, Lepoutre B, Kurdziel JC (1991) Percutaneous vascular foreign body retrieval: Experience of an 11-year period. Eur J Radiol 12:4–10PubMedCrossRef
17.
go back to reference Yedlicka JW Jr, Carson JE, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1991) Nitinol gooseneck snare for removal of foreign bodies: Experimental study and clinical evaluation. Radiology 178:691–693PubMed Yedlicka JW Jr, Carson JE, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1991) Nitinol gooseneck snare for removal of foreign bodies: Experimental study and clinical evaluation. Radiology 178:691–693PubMed
18.
go back to reference Cekirge S, Weiss JP, Foster RG, Neiman HL, McLean GK (1993) Percutaneous retrieval of foreign bodies: Experience with the nitinol goose neck snare. J Vasc Interv Radiol 4:805–810PubMed Cekirge S, Weiss JP, Foster RG, Neiman HL, McLean GK (1993) Percutaneous retrieval of foreign bodies: Experience with the nitinol goose neck snare. J Vasc Interv Radiol 4:805–810PubMed
19.
go back to reference Sanchez RB, Roberts AC, Valji K, Lengle S, Bookstein JJ (1992) Wallstent misplacement during transjugular placement of an intrahepatic portosystemic shunt: Retrieval with a loop snare. AJR Am J Roentgenol 159:129–130PubMed Sanchez RB, Roberts AC, Valji K, Lengle S, Bookstein JJ (1992) Wallstent misplacement during transjugular placement of an intrahepatic portosystemic shunt: Retrieval with a loop snare. AJR Am J Roentgenol 159:129–130PubMed
20.
go back to reference Bessoud B, Thierry de Baere, Kuoch V, et al. (2003) Experience at a single institution with endovascular treatment of mechanical complications caused by implanted central venous access devices in pediatric and adult patients. AJR Am J Roentgenol 180:527–532PubMed Bessoud B, Thierry de Baere, Kuoch V, et al. (2003) Experience at a single institution with endovascular treatment of mechanical complications caused by implanted central venous access devices in pediatric and adult patients. AJR Am J Roentgenol 180:527–532PubMed
21.
go back to reference Koseoglu K, Parildar M, Oran I, Memis A (2004) Retrieval of intravascular foreign bodies with goose neck snare. Eur J Radiol 49:281–285PubMedCrossRef Koseoglu K, Parildar M, Oran I, Memis A (2004) Retrieval of intravascular foreign bodies with goose neck snare. Eur J Radiol 49:281–285PubMedCrossRef
22.
go back to reference Slonim SM, Dake MD, Razavi MK, et al (1999) Management of misplaced or migrated endovascular stents. J Vasc Interv Radiol 10:851–859PubMedCrossRef Slonim SM, Dake MD, Razavi MK, et al (1999) Management of misplaced or migrated endovascular stents. J Vasc Interv Radiol 10:851–859PubMedCrossRef
23.
go back to reference Cantor WJ, Lazzam C, Cohen EA, et al (1998) Failed coronary stent deployment. Am Heart J 136:1088–1095PubMedCrossRef Cantor WJ, Lazzam C, Cohen EA, et al (1998) Failed coronary stent deployment. Am Heart J 136:1088–1095PubMedCrossRef
24.
go back to reference Eggebrecht H, Haude M, von Birgelen C, et al. (2000) Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv 51:432–440PubMedCrossRef Eggebrecht H, Haude M, von Birgelen C, et al. (2000) Nonsurgical retrieval of embolized coronary stents. Catheter Cardiovasc Interv 51:432–440PubMedCrossRef
25.
go back to reference Davies RP, Voyvodic F (1992) Percutaneous retrieval of a partially expanded iliac artery stent: Case report. Cardiovasc Intervent Radiol 15:120–122PubMed Davies RP, Voyvodic F (1992) Percutaneous retrieval of a partially expanded iliac artery stent: Case report. Cardiovasc Intervent Radiol 15:120–122PubMed
26.
go back to reference Saeed M, Knowles HR Jr, Brems JJ, Takiff H (1993) Percutaneous retrieval of a large Palmaz stent from the pulmonary artery. J Vasc Interv Radiol 4:811–814PubMedCrossRef Saeed M, Knowles HR Jr, Brems JJ, Takiff H (1993) Percutaneous retrieval of a large Palmaz stent from the pulmonary artery. J Vasc Interv Radiol 4:811–814PubMedCrossRef
Metadata
Title
Percutaneous Retrieval of Misplaced Intravascular Foreign Objects with the Dormia Basket: An Effective Solution
Authors
Rahul Sheth
Vimal Someshwar
Gireesh Warawdekar
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 1/2007
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-005-0297-4

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