Catheter fragment retrieved from an arterial branch of the right middle cerebral artery

Goland, Javier; Yasuda, Ezequiel; Monteverde, Martín; Garbugino, Silvia

doi:10.25259/sni-171-2019

Cited by 3 publications

(3 citation statements)

References 7 publications

(7 reference statements)

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“…In this case, we believed that the best option was the gooseneck snare. The gooseneck snare is made of nickel-titanium cables and produced with different loop sizes (5,10,15,25, and 35 mm) [14]. When the wire is deployed, the loop is oriented at right angles to the cable, and when pulled, the lost catheter fragment would be trapped between the wire and the outer catheter.…”

Section: Discussionmentioning

confidence: 99%

“…Without early diagnosis and treatment, foreign body residue remains a major cause of morbidities, such as subcutaneous emphysema, pneumomediastinum, and hemopneumothorax [9]. Furthermore, an intravascular foreign body can migrate further and reach the brain, heart, or other organs [10, 11]. To avoid these complications, the procedure should be stopped if a catheter fragment escapes during guidewire threading.…”

Section: Discussionmentioning

confidence: 99%

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Unexpected Complication of Central Venous Catheter Exchange: Catheter Fragment Migration

et al. 2020

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Tunneled central venous catheter (TCVC) placement is often an easy and uncomplicated procedure. As such, some clinicians pay little attention to the procedure, and different complications occurred. Catheter fragment loss in major vessels is a rare but serious complication of in situ catheter exchange with few reported cases in the literature. Once catheter fragments slip into a deep vein, endovascular retrieval should be attempted, due to its high success rate and minimal associated morbidity. A 37-year-old male patient underwent replacement of his temporary catheter with TCVC through a trans-right-internal-jugular-vein approach for maintenance of dialysis. As a major unintended outcome of the operation, a catheter fragment slipped into the right internal jugular vein, then migrated and lodged in the inferior vena cava. We retrieved it with a gooseneck snare without complications. We report the case hoping to emphasize on and raise awareness of the fact that catheter fragment loss is a completely evitable complication, provided the operator follows the correct safety measures and protocols. However, if catheter fragment loss occurred, the fragment should be retrieved as soon as possible. A gooseneck snare is an ideal option for retrieving catheter fragments that have migrated into deep veins.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Unexpected Complication of Central Venous Catheter Exchange: Catheter Fragment Migration

et al. 2020

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“…Since the first case report by Thomas et al in 1964 [1], forceps, baskets, and snare devices have been used for this purpose [2][3][4][5]. Most IFBs are iatrogenic, e.g., wire fragments, catheter fragments, inferior vena cava filters, coils, and stents [2][3][4][5][6][7][8][9][10]. We report a rare case of misinsertion of a pigtail catheter straightener into the common iliac artery during angioplasty for infrarenal aortic stenosis.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Retrieval of a Misinserted Pigtail Catheter Straightener during Infra-Renal Abdominal Aortic Stenting: A Case Report

Izumi¹,

Ikeda²,

Kitagawa³

et al. 2020

Interventional Radiology

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Percutaneous retrieval of an intravascular foreign body is a minimally invasive technique. Using cone-beam computed tomography and the lateral grasp technique, we successfully retrieved a pigtail catheter straightener that had been misinserted into the right common iliac artery. Some examples of catheter straightener retrieval have been reported; however, it is important to take care not to accidentally insert a catheter straightener into a vessel via an angiographic sheath.

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Bailout endovascular techniques applied in a complicated basilar thrombectomy case

Ali

Shapiro

Nossek

et al. 2023

J NeuroIntervent Surg

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Patients with stroke symptoms due to acute basilar artery occlusion can benefit from endovascular thrombectomy.1 2 Several papers have reported unwanted events during thrombectomy procedures such as breakage, fragmentation, or even intravascular migration of the devices or catheter pieces. These papers also presented methods or techniques to retrieve defective devices such as a snare, retrievable stents, or balloons.3–6Video 1 presents a case of basilar thrombectomy that was complicated with fragmentation and then distal migration of a Marksman microcatheter tip into the left posterior cerebral artery. The video shows the bailout technique that was used to retrieve the migrated catheter tip using a gentle/simple and posterior circulation-friendly technique—a technique based on fundamental neurointerventional concepts.Video 1 This video demonstrates the use of a bailout technique to retrieve a migrated microcatehter tip after basilar artery thrombectomy.

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Catheter fragment retrieved from an arterial branch of the right middle cerebral artery

Cited by 3 publications

References 7 publications

Unexpected Complication of Central Venous Catheter Exchange: Catheter Fragment Migration

Unexpected Complication of Central Venous Catheter Exchange: Catheter Fragment Migration

Percutaneous Retrieval of a Misinserted Pigtail Catheter Straightener during Infra-Renal Abdominal Aortic Stenting: A Case Report

Bailout endovascular techniques applied in a complicated basilar thrombectomy case

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