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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Endovascular foreign body retrieval.
Megan I Carroll1, Sadaf S Ahanchi, Jung H Kim
1Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA 23507, USA.
Journal of Vascular Surgery
|October 17, 2012
Summary
Intravascular foreign bodies (IVFBs) are a serious complication of endovascular therapy. Endovascular retrieval of IVFBs is a safe and effective treatment with a high success rate and minimal morbidity.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Medical Device Complications
Background:
- Endovascular procedures are increasing, leading to a rise in complications like intravascular foreign body (IVFB) misplacement.
- IVFBs pose a significant risk to patients undergoing endovascular interventions.
Purpose of the Study:
- To review the experience with IVFB misplacement.
- To evaluate the causes, management strategies, and outcomes of intravascular foreign body retrieval.
Main Methods:
- Retrospective review of patients undergoing endovascular retrieval of IVFBs between 2005 and 2010.
- Exclusion of patients undergoing routine retrieval of temporary vena cava filters.
Main Results:
- Twenty-seven IVFBs were identified in 26 patients; most were asymptomatic.
- Common IVFBs included catheter fragments and guidewires; embolization occurred in various locations.
- Technical success for endovascular retrieval was 79.2%, with a 100% 30-day survival rate and low complication rate.
Conclusions:
- Intravascular foreign bodies are a serious complication that can be reduced by careful device selection and deployment.
- Endovascular retrieval of IVFBs is recommended due to its high success rate and low morbidity.
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