Intravascular foreign body retrieval

Authors

  • Ricardo Correia Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal https://orcid.org/0000-0002-0509-3715
  • Ana Garcia Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal
  • Nelson Camacho Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal
  • Joana Catarino Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal
  • Rita Bento Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal
  • Rita Garcia Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal
  • Fábio Pais Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal
  • Maria Emília Ferreira Serviço de Angiologia e Cirurgia Vascular, Hospital de Santa Marta, CHULC, Portugal

DOI:

https://doi.org/10.48729/pjctvs.277

Abstract

Introduction: Intravascular foreign body (IFB) embolization is a potential complication of any vascular procedure. Intravascular foreign body retrieval (IFBR) can be achieved using percutaneous techniques, open surgery, or both combined.

Methods: We completed a retrospective review of patients who underwent endovascular or open IFBR since 2011 on our institution. Primary end-point was technical retrieval success, and secondary end-points were procedure-related compli- cations and 30-days survival.

Results: Twenty-seven patients underwent IFBR. Median time from intravascular device loss and retrieval was less than one day. 67% were non-endovascular guidewires and sheath fragments (N=28). 59% of IFBs were lost during their deployment (N=16); 41% during their removal attempts (N=11). 44% were lost in the arterial system (N=12) and 52% in the venous system (N=14). An endovascular procedure was used as the first approach in IFBR in 56% of patients (N=15) and open procedure in 44% (N=12). In the presence of IFB on the thoracic or abdominal cavity, it was always tried a first-endo approach; if IFB was present on the neck or limbs, 75% were retrieved by open surgery (N=20; p<0.001). Success rates were 100% for open and 87% for endovascular procedures. IFB caused five acute complications: one IJV thrombosis, two strokes and three acute limb ischemia. There were no IFBR-related complications. 30 days-survival was 100%.

Conclusion: Embolization of IFBs can be minimized with proper device selection, deployment and removal. In this study, open and endovascular retrieval had high success rates and minimal morbidity. Its choice is surgeon-dependent and restrained by devices availability.

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References

Nawale J, Chaurasia A, Nalawade D, Kamat S, Shah M. Percutaneous retrieval of complicated intravascular devices. Interv. Cardiol 2019; 11(1):7-13;

Woodhouse J., Uberoi R. Techniques for Intravascular Foreign Body Retrieval. Cardiovasc Intervent Radiol 2013; 36:888–897;

Sheth R, Someshwar V, Warawdekar G. Percutaneous Retrieval of Misplaced Intravascular Foreign Objects with the Dormia Basket: An Effective Solution. Cardio- vasc Intervent Radiol 2007; 30:48–53;

Schechter M, O'Brien P, Cox M. Retrieval of iatrogenic intravascular foreign bodies. J Vasc Surg 2013; 57:276- 81;

Rossi U, Rollandi G, Ierardi A, Valdata A, Pinna F, Pesca- tori L, Gallieni M, Carrafiello G and Cariati M. Materials and techniques for percutaneous retrieval of intravascular foreign bodies. The Journal of Vascular Access 2018; 1–8;

Carroll M, Ahanchi S, Kim J, Panneton J. Endovascular foreign body retrieval. J Vasc Surg 2013; 57:459-63;

Suhocki P. Foreign Body Retrieval. In Mauro M, Murphy K, Thomson K, Venbrux A, Morgan R. Image-Guided Interventions. 3rd Edition. Saunders, 2020; 801-806;

Bouziane Z, Malikov S, Bracard S, Fouilhé L, Berger L, Settembre N. Endovascular Treatment of Aortic Arch Vessel Stent Migration: Three Case Reports. Ann Vasc Surg 2019; 59:313.e11–313.e17;

Thomson K. Nonsurgical Retrieval of Devices and For- eign Bodies. Endovascular Today, July 2010.

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Published

03-07-2022

How to Cite

1.
Correia R, Garcia A, Camacho N, Catarino J, Bento R, Garcia R, Pais F, Ferreira ME. Intravascular foreign body retrieval. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Jul. 3 [cited 2022 Sep. 27];29(2):45-50. Available from: https://pjctvs.com/index.php/journal/article/view/277

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Original Articles