Retrieval of a Catheter Foreign Body from the Right Heart Using a Guide Wire Deflector System

McSweeney, William J.; Schwartz, David C.

doi:10.1148/100.1.61

Cited by 21 publications

(3 citation statements)

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“…Various reasons have been attributed to these failures. Availability of no free ends for looping 15,16 were responsibilities for some cases. Rossi 17 felt his loop retrieval failed because he was on a different plane with reference to the fragment.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Retrieval of Intravascular Broken Catheter Fragments. A Novel Technique Using a Balloon

2005

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We describe a novel technique to retrieve broken catheter fragments from the vascular tree at difficult locations using a balloon. A coronary balloon can be taken over a microwire into the catheter fragment to hold it after inflation of the balloon and then the whole assembly can be gradually taken out. We used this novel technique successfully in three patients where the snare failed to retrieve the broken catheter fragment from vascular tree.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Retrieval of Intravascular Broken Catheter Fragments. A Novel Technique Using a Balloon

2005

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“…8,9 Early techniques of transvenous foreign body removal utilized catheters, wire snares, forceps, and basket retrievers with tools and technology frequently borrowed from other disciplines. [10][11][12] Byrd utilized the lessons of these early experiences and created a femoral retrieval system that consisted of a 16Fr sheath with a hemostatic valve in combination with various snares. 13 To this day, transfemoral foreign body retrieval with the Byrd Femoral Work Station ® (Cook Medical) remains a necessary skill for successful lead extraction, particularly in cases where the lead is not accessible from the implant vein.…”

Section: Femoral Toolsmentioning

confidence: 99%

The Evolution of Lead Extraction

Maytin¹,

Epstein²

2009

US Cardiology Review

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“…This technique makes use of the torque of the catheter, which is lacking in the wire or guide hooks often used. McSweeney (14) has used a Muller deflector catheter to unwedge a fragment lodged in the hepatic vein.…”

Section: Adjunct Techniquesmentioning

confidence: 99%

The nonsurgical retrieval of intracardiac foreign bodies — an international survey

Bloomfield

1978

Cathet. Cardiovasc. Diagn.

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An international survey of nonsurgical retrieval of intracardiac foreign bodies provided data on 180 published and unpublished cases. The data was analyzed to evaluate the respective merits and drawbacks of the 3 basic retrieval techniques, the snare, the wire basket, and the endoscopy forceps, the routes and methods of insertion, the success rate, and the complications. Eighty percent of foreign bodies were polyethylene central venous pressure catheters, cut in two by the needle introducer. The site of lodgement of these fragments was predictable and determined by the site of entry and length of the fragment. The basic retrieval instruments and their modifications are described. Operating instructions are detailed together with adjunct methods of repositioning fragments for easier retrieval. Factors associated with the small percentage of unsuccessful retrieval attempts include fragments totally in the distal pulmonary artery, extravascular lodging sites, chronically-implanted fragments, and pacemaker-catheter fragments. For the vast majority of cases, however, these simple and uncomplicated techniques have been highly successful and widely utilized in the nonsurgical retrieval of intracardiac foreign bodies.

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Retrieval of a Catheter Foreign Body from the Right Heart Using a Guide Wire Deflector System

Cited by 21 publications

References 0 publications

Percutaneous Retrieval of Intravascular Broken Catheter Fragments. A Novel Technique Using a Balloon

Percutaneous Retrieval of Intravascular Broken Catheter Fragments. A Novel Technique Using a Balloon

The Evolution of Lead Extraction

The nonsurgical retrieval of intracardiac foreign bodies — an international survey

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