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Ono M, Okabe T, Isomura N, Ochiai M. Successful Retrieval of a Torn KUSABI Trapping Balloon Catheter From the Coronary Artery and Verification of the Reproducibility of Trapping Balloon Catheter Shaft Tears. Cureus 2024; 16:e58508. [PMID: 38770457 PMCID: PMC11103275 DOI: 10.7759/cureus.58508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2024] [Indexed: 05/22/2024] Open
Abstract
The balloon trapping technique is frequently used during percutaneous coronary intervention, which is a common treatment for ischemic heart disease. A 68-year-old man with induced ischemia, stenotic lesions, and arterial calcifications underwent catheterization of the circumflex artery and debulking of lesions. During the removal of the catheter, the tip of the balloon catheter used in the procedure dislodged and entered the circumflex artery. After successfully retrieving the catheter, we conducted a bench test of the balloon catheter to determine the cause of the tear. The results suggested that the tearing of the KUSABI balloon might have been caused by manual pulling of the shaft quickly at an inflation pressure of 14 atm and that twisted wires were not involved in balloon tearing. The tensile strength of the balloon catheter was 5N. We believe that the balloon tore owing to excessive force applied to dislodge the tip and because the trapping balloons were not properly deflated. As KUSABI trapping balloons have had a rupture rate of just 0.003% since their launch in 2013, we recommend paying attention to KUSABI balloon deflation within the guiding catheter before its retrieval in order to ensure that only a gentle pull is needed. If resistance is felt during the removal of the KUSABI balloon, it should be confirmed that the tip is in place after removing it.
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Affiliation(s)
- Morio Ono
- Division of Cardiology, Showa University Northern Yokohama Hospital, Yokohama, JPN
| | - Toshitaka Okabe
- Division of Cardiology, Showa University Northern Yokohama Hospital, Yokohama, JPN
| | - Naoei Isomura
- Division of Cardiology, Showa University Northern Yokohama Hospital, Yokohama, JPN
| | - Masahiko Ochiai
- Division of Cardiology, Showa University Northern Yokohama Hospital, Yokohama, JPN
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2
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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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3
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Shoda M, Yamamoto H, Tsukiyama Y, Kawai H, Takaya T. Rare complications of Guideplus guide-extension catheter during complex percutaneous coronary intervention. J Cardiol Cases 2022; 26:399-403. [PMID: 36506501 PMCID: PMC9727552 DOI: 10.1016/j.jccase.2022.08.006] [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: 05/24/2022] [Revised: 07/29/2022] [Accepted: 08/03/2022] [Indexed: 12/15/2022] Open
Abstract
Guide-extension catheters (GECs) are effective in providing reinforced backup support and coaxial alignment, leading to successful complex percutaneous coronary intervention (PCI). However, several GEC-associated complications have been reported, including coronary injuries, thrombotic events, and GEC fractures. The Guideplus GEC (Guideplus II ST; Nipro, Osaka, Japan) has a higher crossability due to its unique hydrophilic-coated soft cylinder, which is frequently used in complex PCI for diffuse, tortuous, and heavily calcified lesions. We describe two cases of Guideplus GEC-associated complications during complex PCI: Case 1 with a radiopaque marker dislodgement and Case 2 with a stent dislodgment. In both cases, the Guideplus GEC was used within 7-Fr guiding catheters, employing the mother-and-child technique. A large inner-catheter gap between these catheters caused by a positioning bias due to arterial bends (the aortic arch in Case 1 and brachiocephalic arterial bends in Case 2) may have caused these complications due to its interference with coronary devices (the trapping balloon in Case 1, and the scoring balloon in Case 2). Early cognition and management of these potential Guideplus GEC-associated complications are important to prevent further deterioration. Learning objectives The Guideplus guide-extension catheter (GEC) with a hydrophilic-coated soft cylinder can deliver coronary devices to complex lesions owing to its high crossability. However, delivering coronary devices with the Guideplus GEC should be carefully performed because a large inner-catheter gap between Guideplus GEC and a guiding catheter may occur if a proximal port of the Guideplus GEC is located at an arterial bend. In such settings, Guideplus GEC-associated complications must be carefully observed, including radiopaque marker dislodgement and stent dislodgement.
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Affiliation(s)
- Mitsuhiko Shoda
- Division of Cardiovascular Medicine, Hyogo Brain and Heart Center, Himeji, Japan
| | - Hiroyuki Yamamoto
- Division of Cardiovascular Medicine, Hyogo Brain and Heart Center, Himeji, Japan,Division of Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan,Corresponding author at: Division of Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-cho, Himeji, Japan.
| | - Yoshiro Tsukiyama
- Division of Cardiovascular Medicine, Hyogo Brain and Heart Center, Himeji, Japan,Division of Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan
| | - Hiroya Kawai
- Division of Cardiovascular Medicine, Hyogo Brain and Heart Center, Himeji, Japan,Division of Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan,Department of Exploratory and Advanced Research in Cardiology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tomofumi Takaya
- Division of Cardiovascular Medicine, Hyogo Brain and Heart Center, Himeji, Japan,Division of Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan,Department of Exploratory and Advanced Research in Cardiology, Kobe University Graduate School of Medicine, Kobe, Japan
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4
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Zheng X, Geng W, Li G, Jin F, Liu H, Jia S, Hei M. Retrieval of an Intracardiac Cannula Fragment via Femoral Access in a Premature Infant. Neonatology 2021; 118:373-377. [PMID: 34148039 DOI: 10.1159/000515464] [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] [Received: 01/12/2021] [Accepted: 02/25/2021] [Indexed: 11/19/2022]
Abstract
A preterm infant with birth weight 1,550 g had an intravenous foreign body between the external iliac vein and the common iliac vein, which accidentally happened during peripheral intravascular central catheter insertion by the Seldinger technique. The infant initially received conservative management and close monitoring. Antibiotics were administered 4 weeks to treat culture positive sepsis and meningitis. The infant was clinically stable till the cannula fragment migrated to the heart 34 days later. At that time, his weight was 2,200 g, and he was full fed. The cannula fragment was retrieved by emergency interventional radiology via the right femoral access, with no complications. The infant was discharged at 45 days of age and closely followed up post-discharge. He is currently 6 months old, with normal development. This is the first case of successful percutaneous retrieval of an intracardiac intravenous cannula fragment via femoral access in a premature infant in China.
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Affiliation(s)
- Xu Zheng
- Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Wenjing Geng
- Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Geng Li
- Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Fei Jin
- Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Hui Liu
- National Center for Children's Health, Beijing, China.,Cardiac Center, Beijing Children's Hospital, Capital Medical University, Beijing, China
| | - Shengnan Jia
- Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
| | - Mingyan Hei
- Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing, China.,National Center for Children's Health, Beijing, China
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5
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Yamamoto W, Otsuji S, Takiuchi S, Kakishita M, Shimatani Y, Hasegawa K, Ishibuchi K, Tamaru H, Ishii R, Yasuda S, Taniguchi Y, Nakabayashi S, Kusumoto H, Higashino Y. Successful percutaneous removal of dislodged ring-marker of optical coherence tomography catheter using the twisted wire technique with a guide-extension catheter: A case report. J Cardiol Cases 2020; 22:242-245. [PMID: 33133319 DOI: 10.1016/j.jccase.2020.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 06/06/2020] [Accepted: 06/26/2020] [Indexed: 11/25/2022] Open
Abstract
An 81-year-old male with diabetes and hypertension was admitted to our hospital due to chest pain on exertion. Coronary angiography revealed a severe stenosis at the middle of right coronary artery (RCA). We performed percutaneous coronary intervention under the guidance of optical coherence tomography (OCT) to the lesion in the middle RCA. After balloon dilations, a drug-eluting stent was deployed to the lesion. Then, OCT examination was performed. At that time, fluoroscopy revealed a foreign body over the 0.014-inch guidewire in the distal RCA, which was the ring-marker of OCT catheter. As RCA blood flow was well preserved, percutaneous removal of the dislodged ring-marker was immediately attempted. At first, we tried to remove the dislodged ring-marker with the guide-extension catheter trapping technique. However, it failed and advanced balloon catheter made the dislodged ring-marker migrate more distally. Therefore, we tried the twisted wire technique with the guide-extension catheter and finally the dislodged ring-marker was removed with it. To the best of our knowledge, this is the first case report of a successful percutaneous removal of a dislodged ring-marker of OCT catheter using the twisted wire technique with a guide-extension catheter. <Learning objective: Although intravascular foreign bodies during percutaneous coronary intervention (PCI) are very rare, it is one of the challenging complications. In this case, we experienced the dislodgement of ring-marker of optical coherence tomography catheter which was removed by twisted wire technique with a guide-extension catheter. The twisted wire technique with a guide-extension catheter can be a useful approach for percutaneous removal of foreign bodies, when other percutaneous retrieval techniques are unsuitable.>.
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Affiliation(s)
- Wataru Yamamoto
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Satoru Otsuji
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Shin Takiuchi
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Mikio Kakishita
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Yuji Shimatani
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Katsuyuki Hasegawa
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Kasumi Ishibuchi
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Hiroto Tamaru
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Rui Ishii
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Shingo Yasuda
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Yusuke Taniguchi
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Sho Nakabayashi
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Hirofumi Kusumoto
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
| | - Yorihiko Higashino
- Department of Cardiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan
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Rothman A, Jaiswal V, Evans WN, Restrepo H, Galindo A. Percutaneous retrieval of fractured intravascular catheters in premature infants. J Neonatal Perinatal Med 2019; 13:413-417. [PMID: 31771073 DOI: 10.3233/npm-180159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Premature infants often require long-term indwelling intravascular catheters. Occasionally, catheters fracture and migrate into cardiovascular structures, risking perforation, infection, thrombosis, and interference with cardiac and valve function. This case series describes our experience with percutaneous retrieval of broken intravascular catheters. METHODS A gooseneck micro-snare was used to retrieve fractured catheters in four premature infants, weighing between 840 and 1930 grams. RESULTS All procedures were successful without complications. CONCLUSIONS Gooseneck-snare retrieval of broken indwelling intravascular catheters can be performed safely and successfully in premature infants even those that weigh less than 1000 grams.
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Affiliation(s)
- A Rothman
- Children's Heart Center Nevada, Las Vegas, NV, USA.,Department of Pediatrics, University of Nevada Las Vegas, School of Medicine, Las Vegas, NV, USA
| | - V Jaiswal
- Department of Pediatrics, University of Nevada Las Vegas, School of Medicine, Las Vegas, NV, USA
| | - W N Evans
- Children's Heart Center Nevada, Las Vegas, NV, USA.,Department of Pediatrics, University of Nevada Las Vegas, School of Medicine, Las Vegas, NV, USA
| | - H Restrepo
- Children's Heart Center Nevada, Las Vegas, NV, USA.,Department of Pediatrics, University of Nevada Las Vegas, School of Medicine, Las Vegas, NV, USA
| | - A Galindo
- Children's Heart Center Nevada, Las Vegas, NV, USA.,Department of Pediatrics, University of Nevada Las Vegas, School of Medicine, Las Vegas, NV, USA
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7
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Patel J, Ramarao S, Desai J, Savich R, Patel A. A case report of embolized umbilical venous catheter retrieval from the heart via femoral access in 660 g premature neonate. Radiol Case Rep 2019; 14:1415-1419. [PMID: 31700556 PMCID: PMC6823817 DOI: 10.1016/j.radcr.2019.09.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 09/03/2019] [Accepted: 09/03/2019] [Indexed: 10/26/2022] Open
Abstract
An extremely premature infant born at a gestational age 24 5/7 and birth weight of 637 g was found to have retained a distal segment of an umbilical venous catheter (UVC) on chest radiograph after removal of the UVC. The catheter was retrieved by interventional radiology on day 10 of life when the baby weighed 660 g. To our knowledge, this is the smallest baby reported to have successfully retrieved catheter percutaneously via femoral access.
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Affiliation(s)
- Jaimin Patel
- Neonatal intensive care unit., University of Mississippi Medical Center., 2500 N State St, Jackson, MS 39216, USA
| | - Sumana Ramarao
- Neonatal intensive care unit., University of Mississippi Medical Center., 2500 N State St, Jackson, MS 39216, USA
| | - Jagdish Desai
- Neonatal intensive care unit., University of Mississippi Medical Center., 2500 N State St, Jackson, MS 39216, USA
| | - Renate Savich
- Neonatal intensive care unit., University of Mississippi Medical Center., 2500 N State St, Jackson, MS 39216, USA
| | - Akash Patel
- Interventional Radiology, University of Mississippi Medical Center., Jackson, MS 39216, USA
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Alkhalil M, McQuillan C, Moore M, Spence MS, Owens C. Use of rotablation to rescue a “fractured” micro catheter tip: A case report. World J Cardiol 2019; 11:189-194. [PMID: 31565194 PMCID: PMC6763679 DOI: 10.4330/wjc.v11.i7.189] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 05/30/2019] [Accepted: 06/20/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND High-speed rotational atherectomy (HSRA) is most commonly used to modify calcified coronary artery lesions to facilitate stent deployment and expansion. The use of HSRA as an emergency rescue technique to release a fractured micro-catheter has not been described. We report the use of HSRA in a case of a fracture trapped corsair tip that was impeding coronary flow causing a ST elevation myocardial infarct.
CASE SUMMARY A 79 years old male was scheduled for elective percutaneous coronary intervention (PCI) to his left anterior descending artery (LAD). Given its calcific nature, a decision was made for upfront rotablation. During procedural preparations, the tip of an employed micro-catheter was separated from the shaft resulting in obstructing coronary flow and ST-segment elevation. The consensus was for an attempt bail out PCI strategy. A rotafloppy wire was advanced to the distal LAD using a corsair micro-catheter which was placed proximal to the occlusion site. Modification of the mid LAD segment was performed, resulting in mobilising the corsair tip, and deflecting it to a small diagonal branch. Following serial predilation, the procedure was completed using two overlapping drug eluting stents, jailing the corsair tip in the diagonal branch. The patient made uneventful recovery and was clinically stable at one year follow up.
CONCLUSION HSRA may be offered as a bailed-out strategy to rescue fractured and jailed micro-catheter tip in high risk surgical cases.
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Affiliation(s)
- Mohammad Alkhalil
- Cardiology Department, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom
| | - Conor McQuillan
- Cardiology Department, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom
| | - Michael Moore
- Cardiology Department, Craigavon Area Hospital, Portadown BT63 5QQ, United Kingdom
| | - Mark S. Spence
- Cardiology Department, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom
| | - Colum Owens
- Cardiology Department, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom
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Unusual complication during a percutaneous coronary intervention for a bifurcation lesion using T and Protrusion technique. CARDIOVASCULAR REVASCULARIZATION MEDICINE 2016; 17:290-1. [PMID: 27150502 DOI: 10.1016/j.carrev.2016.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Revised: 03/05/2016] [Accepted: 03/11/2016] [Indexed: 11/20/2022]
Abstract
Our case reports the first migration of a stent already deployed at high pressure in the main vessel during a 2-stent strategy for a bifurcation lesion using T and protrusion technique. The Kissing balloon was not optimal and could have led to an insufficient strut/cell opening and then to LAD stent pulled back into the artery tree. This case report highlights the importance of an optimal Kissing Balloon in two stent bifurcation technique.
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10
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Transradial retrieval of unintentionally extracted stent deployed 8 months prior during percutaneous coronary intervention to the stent-jailed side branch. Cardiovasc Interv Ther 2016; 32:181-185. [PMID: 26968171 DOI: 10.1007/s12928-016-0389-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2016] [Accepted: 03/01/2016] [Indexed: 10/22/2022]
Abstract
We experienced a case in which a previously deployed stent was extracted during a percutaneous coronary intervention to the stent-jailed side branch by the transradial approach. The stent was dislodged in the radial artery, was fully expanded, and partially deformed, making it difficult to retrieve via the radial sheath. Using a handmade flared guiding catheter, the expanded deformed stent was successfully retrieved via a 6-Fr radial sheath.
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11
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Abstract
Umbilical venous catheterization is a necessity for the advanced care of very low birth weight neonates. Even with utmost care, few complications cannot be avoided. Fractured and retained catheter fragments are one of them. Endoluminal retrieval of such a catheter is an uncommon and challenging procedure for the interventionist. The only alternative is an open exploration of these patients. Various techniques have been described for retrieval of such foreign bodies. We describe a novel technique for percutaneous retrieval of an embolized umbilical venous catheter from a very low birth weight neonate.
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Affiliation(s)
- Arima Nigam
- Department of Cardiology, GB Pant Hospital, New Delhi, India
| | - Vijay Trehan
- Department of Cardiology, GB Pant Hospital, New Delhi, India
| | - Vimal Mehta
- Department of Cardiology, GB Pant Hospital, New Delhi, India
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12
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Mehta V, Pandit BN, Trehan V. Retrieval of Broken Export Catheter during Primary Angioplasty. Int J Angiol 2014; 22:185-8. [PMID: 24436609 DOI: 10.1055/s-0033-1347897] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Broken catheter fragments in a coronary artery during percutaneous coronary interventions although uncommon can potentially result in life-threatening consequences from the attended embolization, thrombus formation, and perforation. We report an unusual complication of a broken export catheter during primary angioplasty, which was successfully managed by inflated balloon-mediated retrieval technique.
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Affiliation(s)
- Vimal Mehta
- Department of Cardiology, GB Pant Hospital, Delhi, India
| | | | - Vijay Trehan
- Department of Cardiology, GB Pant Hospital, Delhi, India
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13
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Mehta V, Pandit BN, Yusuf J, Mukhopadhyay S, Trehan V, Tyagi S. Retrieval of impacted broken balloon by balloon inflation in guiding catheter. Cardiovasc Interv Ther 2013; 29:252-5. [PMID: 24178859 DOI: 10.1007/s12928-013-0221-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2013] [Accepted: 10/16/2013] [Indexed: 10/26/2022]
Abstract
Broken catheter fragment in a coronary artery during percutaneous coronary angioplasty is a rare complication. It can result in serious problems as a result of thrombus formation and embolization of broken fragment. We report an unusual complication of a broken balloon catheter during angioplasty, which was successfully retrieved by balloon inflation in guiding catheter technique.
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Affiliation(s)
- Vimal Mehta
- Room No. 133, Academic Block, Department of Cardiology, G. B. Pant Hospital, Maulana Azad Medical College, Jawaharlal Nehru Marg, New Delhi, 110002, India,
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14
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Percutaneous retrieval of intravascular venous foreign bodies in children. Pediatr Radiol 2012; 42:24-31. [PMID: 22179682 DOI: 10.1007/s00247-011-2150-z] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2011] [Revised: 04/20/2011] [Accepted: 04/27/2011] [Indexed: 12/21/2022]
Abstract
BACKGROUND The use of vascular lines both venous and arterial in children has significantly increased in the last decade with the potential risk that an intravascular device may become an intravascular foreign body. Percutaneous retrieval by interventional radiology has become an accepted method of foreign body removal. OBJECTIVE The objective of this study is to describe a single center's experience of percutaneous intravascular foreign body removal in pediatric patients. MATERIALS AND METHODS Between January 2000 and December 2008, 18 patients underwent percutaneous intravascular foreign body retrieval as a complication of venous access devices. The mean catheter days were 181.2 catheter days (1 to 1,146 days). A retrospective review was performed and demographic data and clinical information were recorded, including type, duration, location of access device, embolization location and retrieval technique. RESULTS Eighteen of 19 (94.7%) retrievals were performed with single-loop snares and 1/19 (5.3%) was a triple-loop snare. Seventeen of 19 (89.5%) retrievals were successful. One unsuccessful retrieval was successfully removed by surgery, while the other was retained. CONCLUSION Percutaneous intravascular foreign body retrieval by interventional radiologists is a safe and effective method of retrieving embolized fragments from venous access devices in pediatric patients.
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15
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Paraplegia prevention branches: A new adjunct for preventing or treating spinal cord injury after endovascular repair of thoracoabdominal aneurysms. J Vasc Surg 2011; 54:252-7. [DOI: 10.1016/j.jvs.2010.11.131] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2010] [Revised: 11/30/2010] [Accepted: 11/30/2010] [Indexed: 11/19/2022]
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