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Title

Percutaneous retrieval of intravascular and intracardiac foreign bodies with a dedicated three-dimensional snare: a 3-year single center experience
Authors
Bonvini, Robert
Rastan, Aljoscha
Sixt, Sebastian
Noory, Elias
Beschorner, Ulrich
Leppanen, Olli
Mach, François
Schwarzwalder, Uwe
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Published in Catheterization and Cardiovascular Interventions. 2009, vol. 74, no. 6, p. 939-945
Abstract INTRODUCTION: The presence of symptomatic or asymptomatic intravascular/intracardiac foreign body (FB) is under-reported in the literature, but it is more commonly encountered in clinical practice. The implantation of long-term venous catheters and the number of technical challenging endovascular procedures are both constantly increasing. Thus, the number of reported FBs will also increase, becoming a serious concern, especially once associated with a cardiovascular complication. MATERIALS AND METHODS: We report the analysis of 22 patients in whom an intravascular/cardiac FBs retrieval was attempted. The details of the procedure have been discussed in depth emphasizing the technical aspects of the utilized dedicated three-dimensional snare device (Entrio snare). The technical feasibility, safety, and efficacy of the retrieval procedure were then analyzed. RESULTS: We divided our patients into two groups. Group 1 included 12 patients in whom the FB had already migrated in the right heart or in the pulmonary circulation. Group 2 included 10 patients with an intravascular FB (intravenous or intraarterial). Technical retrieval success rate was 95.5% (21/22), with a 35-min procedural mean time and no in-hospital procedural-related complications. CONCLUSIONS: Our data confirm that different kinds of FBs lodging in different sites of the cardiovascular system can safely and efficaciously be percutaneously retrieved by utilizing a dedicated three-dimensional snare device. This, therefore, suggests that this minimally invasive intervention should be rapidly attempted, thus anticipating several serious complications.
Keywords Adult — Aged — Aged, 80 and over — *Blood Vessels — Catheterization, Peripheral/*instrumentation — Equipment Design — Feasibility Studies — Female — Foreign-Body Migration/radiography/*therapy — *Heart — Heart Catheterization/*instrumentation — Humans — Male — Middle Aged — Retrospective Studies — Time Factors — Treatment Outcome
Identifiers
PMID: 19434746
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Other version: http://onlinelibrary.wiley.com/store/10.1002/ccd.22074/asset/22074_ftp.pdf?v=1&t=gzr4ykji&s=6d85e37f49b1307761a251642...
Structures
Faculté de médecine / Section de médecine clinique / Département de médecine interne des spécialités
Research groups Biologie du myocarde (22)
L'athérosclérose et ses complications cliniques (591)
Citation
(ISO format) 		BONVINI, Robert et al. Percutaneous retrieval of intravascular and intracardiac foreign bodies with a dedicated three-dimensional snare: a 3-year single center experience. In: Catheterization and Cardiovascular Interventions, 2009, vol. 74, n° 6, p. 939-945. https://archive-ouverte.unige.ch/unige:19695

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Deposited on : 2012-04-23

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