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Successful percutaneous retrieval of a dislodged J-tip guide wire by a self-constructed snare in a 75-year-old patient: a safe and feasible approach
open access
Abstract
Since the first report of percutaneous retrieval of intravascular foreign body in 1964, it has been accepted as a favourite approach for intravascular foreign body removal. Snares, biopsy forceps, dormia basket or tip deflecting wires are available in the armamentarium for this approach. Herein, we report percutaneous retrieval of a dislodged J-tip guide-wire by self-constructed snare. A patient was a 75-year-old woman who was admitted with capture failure following post pacemaker implantation. J-tip guide-wire was inadvertently left in her inferior vena cava during temporary pacemaker insertion. The guide wire was approached through right subclavian vein by a self-constructed snare and it was removed without any complications. Use of snares for intravascular foreign body removal is frequently reported and has been successful with low complication rates; also, the low cost of such snares makes it safe and economical.
Abstract
Since the first report of percutaneous retrieval of intravascular foreign body in 1964, it has been accepted as a favourite approach for intravascular foreign body removal. Snares, biopsy forceps, dormia basket or tip deflecting wires are available in the armamentarium for this approach. Herein, we report percutaneous retrieval of a dislodged J-tip guide-wire by self-constructed snare. A patient was a 75-year-old woman who was admitted with capture failure following post pacemaker implantation. J-tip guide-wire was inadvertently left in her inferior vena cava during temporary pacemaker insertion. The guide wire was approached through right subclavian vein by a self-constructed snare and it was removed without any complications. Use of snares for intravascular foreign body removal is frequently reported and has been successful with low complication rates; also, the low cost of such snares makes it safe and economical.
Keywords
intravascular foreign body, J-tip guide wire, percutaneous retrieval, self-constructed snare
About this articleTitle
Successful percutaneous retrieval of a dislodged J-tip guide wire by a self-constructed snare in a 75-year-old patient: a safe and feasible approach
Journal
Issue
Article type
Case report
Pages
371-374
Published online
2016-09-14
DOI
10.5603/FC.a2016.0079
Bibliographic record
Folia Cardiologica 2017;12(4):371-374.
Keywords
intravascular foreign body
J-tip guide wire
percutaneous retrieval
self-constructed snare
Authors
Santosh Kumar Sinha
Mukesh Jitendra Jha
Divendu Khanra
Avinash Kumar Singh
Vikas Mishra
Pradyot Tiwari
Ramesh Thakur
References (8)- Thomas J, Sinclair-Smith B, Bloomfield D. On-surgical retrieval of a broken segment of steel spring guide from the right atrium and inferior vena cava. Circulation. 1964; 30: 106–108.
- 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.
- 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.
- 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.
- 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.
- Gabelmann A, Kramer S, Gorich J. Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol. 2001; 176(6): 1509–1513.
- 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.
- 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.