Journal article
Endovascular Removal of Intravascular Foreign Bodies: A Single-Center Experience and Literature Review
Annals of vascular surgery, Vol.82, pp.362-376
05/01/2022
DOI: 10.1016/j.avsg.2021.12.003
PMID: 34936892
Abstract
Objective: To describe causes, clinical signs, experience and endovascular techniques for extraction of intravenous foreign bodies (IFB) and literature review. Methods: This retrospective study was based on data collected from the medical records of 51 consecutive patients (26 women and 25 men) treated from July 2007 to May 2020 at a single quaternary center in Brazil and case series with data, published in the literature since 2000 on IFB removal, of at least 5 patients. The average patient age was 43.54 years (range, 2 months to 84 years). The different retrieval method using the following was used in the procedure: gooseneck snare, guidewire, balloon, and custom snares. Results: The retrieval process rate was 100%. Thirty-one port-a-caths, 6 guidewires, 4 double lumens, 3 permcaths, 3 Shiley® catheters, 1 intra cath, 2 peripherally inserted central catheters, and one stent were extracted. The locations where the IFBs were most frequently trapped were the right atrium (39.2%), the pulmonary artery (17.64%), the superior vena cava (13.72%), and the right ventricle (16.12%). Single venous access was used in 67.07% of the patients. Femoral access, which was the most commonly used approach, was used in 85.71% of the patients. The loop was used in 64.70% of the patients. A fractured catheter was the main IFB in 60.76% of the cases (31 patients). Only one complication related to the extraction of an IFB was noted in a single patient who suffered from atrial fibrillation (1.96%). The 30 day mortality rate was zero. Conclusion: Percutaneous IFB removal should be considered as an alternative for the treatment and retrieval of IFBs because it is a minimally invasive procedure that is relatively simple, safe, and has low complication rates.
Details
- Title: Subtitle
- Endovascular Removal of Intravascular Foreign Bodies: A Single-Center Experience and Literature Review
- Creators
- Túlio Fabiano de Oliveira Leite - Universidade de São PauloLucas Vatanabe Pazinato - Universidade de São PauloEdgar Bortolini - Universidade de São PauloOsvaldo Ignacio Pereira - Universidade de São PauloCesar Higa Nomura - Universidade de São PauloJoaquim Maurício Da Motta Leal Filho - Universidade de São Paulo
- Resource Type
- Journal article
- Publication Details
- Annals of vascular surgery, Vol.82, pp.362-376
- DOI
- 10.1016/j.avsg.2021.12.003
- PMID
- 34936892
- NLM abbreviation
- Ann Vasc Surg
- ISSN
- 0890-5096
- eISSN
- 1615-5947
- Grant note
- DAMD17–98–1–8515 / National Institute of Arthritis and Musculoskeletal and Skin Diseases (http://data.elsevier.com/vocabulary/SciValFunders/100000069) U.S. Department of Defense (http://data.elsevier.com/vocabulary/SciValFunders/100000005)
- Language
- English
- Date published
- 05/01/2022
- Academic Unit
- Radiology
- Record Identifier
- 9985180935502771
Metrics
2 Record Views