open access

Vol 12, No 4 (2017)
Case Reports
Published online: 2016-09-14
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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

Santosh Kumar Sinha, Mukesh Jitendra Jha, Divendu Khanra, Avinash Kumar Singh, Vikas Mishra, Pradyot Tiwari, Ramesh Thakur
DOI: 10.5603/FC.a2016.0079
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Folia Cardiologica 2017;12(4):371-374.

open access

Vol 12, No 4 (2017)
Case Reports
Published online: 2016-09-14

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.

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Keywords

intravascular foreign body, J-tip guide wire, percutaneous retrieval, self-constructed snare

About this article
Title

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

Folia Cardiologica

Issue

Vol 12, No 4 (2017)

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)
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  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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