Foreign body retrieval using a simple snare device

Retrieval of intravascular iatrogenic foreign bodies using a nonsurgical technique

Two cases are presented in which interventional radiology was used to retrieve foreign bodies from in and around the vascular system.

Management of distal electrode detachment during lead extraction

A telectronics 330-801 atrial active fixation lead with multiple J retention wire fractures was extracted. Separation of the distal electrode occurred due to antecedent inner conductor fracture between the endocardial electrode pair. Techniques for removal of the free distal electrode are described, including use of biopsy forceps and a snare.

Successful transcatheter management of Palmaz Stent embolization after superior vena cava stenting

A 34-year-old patient with benign superior vena cava syndrome (SVCS) was treated with thrombolytic therapy, balloon angioplasty, and placement of two peripheral Palmaz stents. Embolization of one stent to the right atrium occurred 10 min after successful implantation. This serious complication was successfully managed by percutaneous transcatheter technique with retrieval from the right atrium and subsequent deployment into the right external iliac vein of the lost stent. Complete resolution of SVCS symptoms occurred within 24 hr and moderate superior vena cava restenosis was successfully dilated 8 months later. At 12-month follow-up the patient continues to be asymptomatic.