Percutaneous Retrieval of a Pulmonary Artery Catheter Knot in Pacing Electrodes

Valenzuela-García, Luis Felipe; Almendro‐Delia, Manuel; González-Valdayo, Miguel; Muñoz-Campos, Juan; Dorado-García, José C.; Gómez-Rosa, Francisco; Vázquez-García, Rafael; Calderón-Leal, José

doi:10.1007/s00270-007-9101-y

Cited by 15 publications

(10 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many teams have confirmed the utility of these percutaneous interventions, thus avoiding invasive intervention [2][3][4][5][6]. Percutaneous extrac- Fig.…”

Section: Discussionmentioning

confidence: 94%

Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique

et al. 2009

View full text Add to dashboard Cite

We report on a new minimally invasive technique for the retrieval of a surgical pin fragment after accidental migration into the soft tissue of the shoulder in two patients. The technique is performed under local anaesthesia and uses combined CT and fluoroscopic guidance. The materials used were simple, combining a bone biopsy needle and an endoscopy clamp. Pin displacement was confirmed under fluoroscopic guidance and the clamp was used to withdraw the pin to the cutaneous entry point under CT (step-by-step) guidance. The CT slices provide perfect visualisation of the vascular or nervous structures as well as perfect positioning of the extremity of the trocar relative to the material to be removed. This intervention avoids a second surgical intervention with a longer incision and avoided repeated general anaesthesia.

show abstract

“…Many teams have confirmed the utility of these percutaneous interventions, thus avoiding invasive intervention [2][3][4][5][6]. Percutaneous extrac- Fig.…”

Section: Discussionmentioning

confidence: 94%

Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Most knots can be untied percutaneously using simple maneuvers, especially in case of lumen catheters where insertion of a guidewire through the catheter's central lumen would often help to unravel the knot [ [1] , [2] , [3] , [4] ]. Unlooping of knot, by passing a guidewire through the loop followed by balloon dilatation [ 5 , 6 ] or hooking and pulling it with a pigtail catheter [ 1 ] or 0.035″ J tipped guide wire [ 7 ] is also described. However in our case, absence of central lumen, lead stiffness and knot complexity made its retrieval more difficult than lumen catheters and required special techniques.…”

Section: Discussionmentioning

confidence: 99%

Successful percutaneous retrieval of unusually knotted temporary pacemaker lead

Nawale

Patil

Nalawade

et al. 2018

Indian Pacing and Electrophysiology Journal

View full text Add to dashboard Cite

Implantation of temporary pacemaker lead is commonly performed procedure and is usually safe, but can sometimes develop rare and serious complication like intracardiac lead knotting which may require challenging retrieval techniques. We report a case of successful percutaneous retrieval of unusually knotted right internal jugular venous temporary pacing lead via left femoral transvenous approach using snare over a long sheath after cutting the electrode proximally and thus avoiding any surgical intervention.

show abstract

“…[4] described an interesting technique consisting of balloon dilatation within a Swan-Ganz's (SG) knot. Once the knot was loosened by the balloon, a pigtail through the femoral vein seized the catheter at the level of the knot, and simultaneous pulling back of the SG catheter proximally through the subclavian vein and pigtail by femoral access could successfully retrieve the system.…”

Section: Discussionmentioning

confidence: 99%