open access

Vol 11, No 5 (2016)
Case report
Published online: 2016-09-14
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Percutaneous retrieval of a fractured multipurpose catheter by an indigenous snare in a 25-year-old patient: a safe and feasible a retrieval of a fractured multipurpose catheter by an Indigenous Snare in a 25-year-old patient: a safe and feasible approach

Santosh Kumar Sinha, Mukesh Jitendra Jha, Vikas Mishra, Divendu Khanra, Avinash Kumar Singh, Amit Goel, Ramesh Thakur
DOI: 10.5603/FC.a2016.0078
·
Folia Cardiologica 2016;11(5):447-450.

open access

Vol 11, No 5 (2016)
Case Reports
Published online: 2016-09-14

Abstract

Since the first report of percutaneous retrieval of intravascular foreign body in 1964, it has become a favourite approach for intravascular foreign body removal. Snares, biopsy forceps, dormia basket or tip deflecting wires are available options for this approach. Herein, we report percutaneous retrieval a fractured multipurpose catheter by an indigenous snare in a 25-year-old patient. The patient was a 25-year-old male being admitted with ostium secundum atrial septal defect and catheterization study was planned for shunt quantification. During manipulation to right ventricular outflow tract, multipurpose catheter got broken approx. 4 cm. proximal to tip. The broken part was captured through right femoral vein by a self-constructed snare. While removal, it broke at tip of venous sheath. Smaller one was retrieved and bigger was recaptured and finally retrieved by exaggerating the curve of same snare without any complications. Use of snares for intravascular foreign body removal is frequently reported and has been successful with low complication rates.

Abstract

Since the first report of percutaneous retrieval of intravascular foreign body in 1964, it has become a favourite approach for intravascular foreign body removal. Snares, biopsy forceps, dormia basket or tip deflecting wires are available options for this approach. Herein, we report percutaneous retrieval a fractured multipurpose catheter by an indigenous snare in a 25-year-old patient. The patient was a 25-year-old male being admitted with ostium secundum atrial septal defect and catheterization study was planned for shunt quantification. During manipulation to right ventricular outflow tract, multipurpose catheter got broken approx. 4 cm. proximal to tip. The broken part was captured through right femoral vein by a self-constructed snare. While removal, it broke at tip of venous sheath. Smaller one was retrieved and bigger was recaptured and finally retrieved by exaggerating the curve of same snare without any complications. Use of snares for intravascular foreign body removal is frequently reported and has been successful with low complication rates.

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Keywords

fractured multipurpose catheter, intravascular foreign body, percutaneous retrieval, self-constructed snare

About this article
Title

Percutaneous retrieval of a fractured multipurpose catheter by an indigenous snare in a 25-year-old patient: a safe and feasible a retrieval of a fractured multipurpose catheter by an Indigenous Snare in a 25-year-old patient: a safe and feasible approach

Journal

Folia Cardiologica

Issue

Vol 11, No 5 (2016)

Article type

Case report

Pages

447-450

Published online

2016-09-14

DOI

10.5603/FC.a2016.0078

Bibliographic record

Folia Cardiologica 2016;11(5):447-450.

Keywords

fractured multipurpose catheter
intravascular foreign body
percutaneous retrieval
self-constructed snare

Authors

Santosh Kumar Sinha
Mukesh Jitendra Jha
Vikas Mishra
Divendu Khanra
Avinash Kumar Singh
Amit Goel
Ramesh Thakur

References (8)
  1. Thomas J, Sinclair-Smith B, Bloomfield D, et al. Non-surgical retrieval of a broken segment of steel spring guide from the right atrium and inferior vena cava. Circulation. 1964; 30: 106–108.
  2. Sheth R, Someshwar V, Warawdekar G. Percutaneous retrieval of misplaced intravascular foreign objects with the Dormia basket: an effective solution. Cardiovasc Intervent Radiol. 2007; 30(1): 48–53.
  3. Dotter CT, Rösch J, Bilbao MK. Transluminal extraction of catheter and guide fragments from the heart and great vessels; 29 collected cases. Am J Roentgenol Radium Ther Nucl Med. 1971; 111(3): 467–472.
  4. Curry JL. Recovery of detached intravascular catheter or guide wire fragments. A proposed method. Am J Roentgenol Radium Ther Nucl Med. 1969; 105(4): 894–896.
  5. Kim JY, Yoon J, Jung HS, et al. Broken guidewire fragment in the radio-brachial artery during transradial sheath placement: percutaneous retrieval via femoral approach. Yonsei Med J. 2005; 46(1): 166–168.
  6. Gabelmann A, Kramer S, Gorich J. Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol. 2001; 176(6): 1509–1513.
  7. Doering RB, Stemmer EA, Connolly JE. Complications of indwelling venous catheters, with particular reference to catheter embolus. Am J Surg. 1967; 114(2): 259–266.
  8. Dondelinger RF, Lepoutre B, Kurdziel JC. Percutaneous vascular foreign body retrieval: experience of an 11-year period. Eur J Radiol. 1991; 12(1): 4–10.

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