Percutaneous extraction of deeply-embedded radiopaque foreign bodies using a less-invasive technique under image guidance

Zhu, Qiaohua; Yong, Chen; Zeng, Qingyu; Zhao, Jianbo; Yu, Xin-Fa; Zhou, Chengyu; Li, Yanhao

doi:10.1097/ta.0b013e31822c1c50

Cited by 8 publications

(3 citation statements)

References 9 publications

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“…Previous studies have reported the removal of foreign bodies, including gun pellets (n = 223), metal splinters (n = 24), and needle fragments (n = 4) using an 18-gauge needle, tapered dilators, and grasping forceps under fluoroscopic guidance [1] . Additional studies have reported the removal of ballistic foreign bodies (n = 61) using ultrasound or fluoroscopy [2] .…”

Section: Discussionmentioning

confidence: 99%

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Balloon tract dilatation facilitates fluoroscopically guided removal of deeply penetrating foreign bodies

Srinivasa

2018

Radiology Case Reports

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Previous reports describe removal of foreign bodies using image guidance with serial tract dilation or blunt and sharp dissection techniques. This report describes a novel technique utilizing balloon tract dilatation to facilitate the removal of retained radiopaque soft tissue foreign bodies under fluoroscopic guidance. This technique offers a minimally invasive approach for rapid retrieval of deeply penetrating foreign bodies, obviating the need for a large incision or surgical cut down.

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Section: Discussionmentioning

confidence: 99%

“…Previous reports describe removal of foreign bodies using image guidance with serial tract dilation or blunt and sharp dissection techniques [1] , [2] . This report describes a novel technique utilizing balloon tract dilatation to facilitate the removal of retained radiopaque soft tissue foreign bodies under fluoroscopic guidance.…”

Section: Introductionmentioning

confidence: 99%

Balloon tract dilatation facilitates fluoroscopically guided removal of deeply penetrating foreign bodies

Srinivasa

2018

Radiology Case Reports

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“…Otherwise, imaging is required to identify the foreign body and establish its exact location before the removal attempt. Intraoperative US and fluoroscopy have been used to help in surgical removal (3,(9)(10)(11)(12)(13). However, the surgical removal of a foreign body is invasive and technically challenging, and it requires a relatively large cutaneous and sometimes fascial incision, with isolation of neurovascular structures.…”

Section: Introductionmentioning

confidence: 99%

US-guided Localization and Removal of Soft-Tissue Foreign Bodies

Rodríguez

Aza

et al. 2020

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US-guided Localization and Removal of Soft-Tissue Foreign BodiesUS-guided foreign body removal is a nonsurgical highly effective technique used to manage symptomatic foreign bodies and should be considered as a first-line treatment procedure. The authors describe a technique used for US detection and US-guided removal of various types of foreign bodies and discuss the efficacy of the procedure. Soft-tissue foreign bodies can result from accidents or medical procedures, and they are a relatively frequent reason that patients obtain medical consultation. Foreign body objects include vegetal, metallic, and glass objects, and they may be medical devices such as contraceptive implants. Frequently, physical examination is not sensitive enough to detect the presence of a foreign body, and imaging is necessary. US has demonstrated high specificity and moderate sensitivity for detection of foreign bodies, and it has the advantage of depicting all types of materials. Thus, US has become the imaging technique of choice for evaluating suspected foreign bodies. Although the US features are dependent on the foreign body type and shape, all foreign bodies are echogenic and frequently demonstrate posterior shadowing or reverberation artifact. US has an added value in that it can be used to plan the removal of a foreign body and also guide the entire percutaneous removal procedure. Through a small incision in the skin, just wide enough for the foreign body to pass through, surgical forceps can be inserted and directed under US guidance to reach the foreign body and remove it. The effectiveness of US-guided percutaneous removal can be near 100%.

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Image-guided percutaneous removal of ballistic foreign bodies secondary to air gun injuries

et al. 2017

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Percutaneous extraction of deeply-embedded radiopaque foreign bodies using a less-invasive technique under image guidance

Abstract: Percutaneous extraction of RFBs from deep soft tissue with the present technique is safe, effective, and minimally invasive.

Cited by 8 publications

References 9 publications

Balloon tract dilatation facilitates fluoroscopically guided removal of deeply penetrating foreign bodies

Balloon tract dilatation facilitates fluoroscopically guided removal of deeply penetrating foreign bodies

US-guided Localization and Removal of Soft-Tissue Foreign Bodies

Image-guided percutaneous removal of ballistic foreign bodies secondary to air gun injuries

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