EURORAD ESR

Case 9722

A problematic catheter fragment retrieval: a useful trick (the movie)

Author(s)
Fabio Pozzi Mucelli, Luca De Paoli, Tiziano Stocca, Maria Cova

Struttura Complessa di Radiologia,
Azienda Ospedaliero-Universitaria,
Ospedali Riuniti di Trieste, TRIESTE, Italy;
Email: pozzi-mucelli@libero.it
 
Patient
female, 60 year(s)
 
 
  • Figure 1
    Preoperative chest X-ray
     

    Plain X-ray film shows the port-catheter fragment between right and left pulmonary arteries.

     
    Area of Interest: Pulmonary vessels; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;

    The latero-lateral view confirms the fragment position.

     
    Area of Interest: Pulmonary vessels; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;
     
     
  • Figure 2
    Pig-tail engagement
     

    Pig-tail catheter engages the port-catheter fragment moving it in the right atrium.

     
    Area of Interest: Pulmonary vessels; Imaging Technique: Catheter arteriography; Procedure: Removal; Special Focus: Foreign bodies;

    Later phase of the manoeuvre.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter venography; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 3
    Pig-tail engagement manoeuvre: the movie

    Pig-tail catheter engages the port-catheter fragment moving it in the right atrium.

     
    Area of Interest: Pulmonary vessels; Imaging Technique: Catheter arteriography; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 4
    Port-catheter fragment retrieval
     

    Snare device tries to catch one tip of the port-catheter fragment.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter venography; Procedure: Removal; Special Focus: Foreign bodies;

    Snare device retrieves one tip of the port-catheter fragment.

     
    Area of Interest: Respiratory system; Imaging Technique: Catheter arteriography; Procedure: Removal; Special Focus: Foreign bodies;

    The snare device with the port-catheter fragment is pulled-back in the introducer-sheath.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter venography; Procedure: Removal; Special Focus: Foreign bodies;
     
     
  • Figure 5
    The 'evidence'

    The 15 cm-long fragment caught with the gooseneck loop.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter venography; Procedure: Removal; Special Focus: Foreign bodies;
     
     
Plain X-ray film shows the port-catheter fragment between right and left pulmonary arteries.
 
The latero-lateral view confirms the fragment position.
 
Pig-tail catheter engages the port-catheter fragment moving it in the right atrium.
 
Later phase of the manoeuvre.
 
Pig-tail catheter engages the port-catheter fragment moving it in the right atrium.
 
Snare device tries to catch one tip of the port-catheter fragment.
 
Snare device retrieves one tip of the port-catheter fragment.
 
The snare device with the port-catheter fragment is pulled-back in the introducer-sheath.
 
The 15 cm-long fragment caught with the gooseneck loop.
 
 
 
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