EURORAD ESR

Case 10133

Foreign body and iatrogenic dislocation: (un)expected success

Author(s)
Spinelli A, Loreni G, Morosetti D, Chiaravalloti A, Gandini R, Simonetti G

University Hospital, Diagnostic Imaging.
Molecular Imaging, Interventional Radiology
and Radiation Therapy;
viale Oxford 81
00133 Rome, Italy;
Email:giorgioloreni@hotmail.it
 
Patient
female, 30 year(s)
 
 
  • Figure 1
    Fracture catheter position

    The fragment, still attached, could suddenly break away and embolise.

     
    Area of Interest: Interventional vascular; Imaging Technique: Fluoroscopy; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 2
    Beginning of the procedure

    Was employed a 100 cm pigtail catheter and a 0.35" standard guidewire .

     
    Area of Interest: Interventional vascular; Imaging Technique: Fluoroscopy; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 3
    The fist attempt...

    The goose snare was closed in the proximal part of the catheter.

     
    Area of Interest: Interventional vascular; Imaging Technique: Fluoroscopy; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 4
    ...and pulmonary trunk embolisation. New attempt!

    Iatrogenic dislocation and new attempt.

     
    Area of Interest: Interventional vascular; Imaging Technique: Fluoroscopy; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 5
    The correct catch

    This time, we engaged the fragment in its central portion. The correct way!

     
    Area of Interest: Interventional vascular; Imaging Technique: Fluoroscopy; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 6
    The successful retrieval

    The fragment was dragged into the introducer sheath and both were removed simultaneously.

     
    Area of Interest: Interventional vascular; Imaging Technique: Fluoroscopy; Procedure: Removal; Special Focus: Foreign bodies;
     
     
The fragment, still attached, could suddenly break away and embolise.
 
Was employed a 100 cm pigtail catheter and a 0.35" standard guidewire .
 
The goose snare was closed in the proximal part of the catheter.
 
Iatrogenic dislocation and new attempt.
 
This time, we engaged the fragment in its central portion. The correct way!
 
The fragment was dragged into the introducer sheath and both were removed simultaneously.
 
 
 
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