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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
Rastan, Aljoscha
Sixt, Sebastian
Noory, Elias
Beschorner, Ulrich
Leppanen, Olli
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 AdultAgedAged, 80 and over*Blood VesselsCatheterization, Peripheral/*instrumentationEquipment DesignFeasibility StudiesFemaleForeign-Body Migration/radiography/*therapy*HeartHeart Catheterization/*instrumentationHumansMaleMiddle AgedRetrospective StudiesTime FactorsTreatment Outcome
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PMID: 19434746
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Research groups Biologie du myocarde (22)
L'athérosclérose et ses complications cliniques (591)
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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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