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Il Giornale Italiano di Radiologia Medica 2018 Marzo-Aprile;5(2):202-7

DOI: 10.23736/S2283-8376.18.00046-3


language: Italian

Intravascular foreign body retrieval: single center experience

Fabio CORVINO 1 , Antonio MACERA 2, Francesco GIURAZZA 1, Gianluca CANGIANO 1, Mattia SILVESTRE 1, Enrico CAVAGLIÀ 1, Francesco AMODIO 1, Giuseppe DE MAGISTRIS 1, Antonio CORVINO 3, Raffaella NIOLA 1

1 Dipartimento di Radiologia Interventistica, AORN “A. Cardarelli”, Napoli, Italia; 2 Dipartimento di Bioscienze Mediche Avanzate, Università Federico II, Istituto di Biostrutture e Bioimmagini (IBB), Consiglio Nazionale delle Ricerche (CNR), Napoli, Italia; 3 Università degli Studi di Napoli “Parthenope”, Napoli, Italia


BACKGROUND: Demonstrate the role of endovascular technique for the retrieval of lost or misplaced intravascular objects reviewing our 10-years experience.
METHODS: From January 2008 to January 2018, 82 patients (48 M and 34 F; mean age 55.5±18) referred to our department for endovascular retrieval of intravascular foreign objects. Exact removal procedure technique, success rate and procedure-related complications were assessed.
RESULTS: In 38/82 (46%) cases foreign objects were located in peripheral venous system, in 29/82 (35%) in right heart (atrium, ventricle or both) and in 15/82 (19%) cases in a pulmonary artery or in its main trunk. For foreign object removal Amplatz “goose neck” loop was used successfully alone in 75/82 cases (91.5%) and in 7 cases (8.5%) a combination of pig-tail or Sidewinder 1 catheter and snare loop was used. Primary success was achieved in 72/82 cases (88%); in 3 cases (4%) foreign objects were mobilized but surgically removed. In 7 cases (8%) foreign objects removal was not possible. In 4 of 82 cases (5%) minor complications occurred during procedure.
CONCLUSIONS: Percutaneous retrieval of lost or misplaced intravascular objects is an effective and efficient technique, with a very few minor complications.

KEY WORDS: Complications - Foreign bodies - Device removal

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