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Transvenous retrieval of intracardiac catheter fragments
H Lybecker1, C Andersen, M K Hansen
1Department of Clinical Physiology and Cardiothoracic Surgery, Odense University Hospital, Denmark.
Acta Anaesthesiologica Scandinavica
|October 1, 1989
Insights
Catheter embolism retrieval from the heart can be achieved using various techniques. These methods are rapid, safe, and avoid the need for thoracotomy.
Area of Science:
- Cardiology
- Interventional Radiology
Background:
- Catheter embolism is a rare but serious complication during cardiovascular procedures.
- Retained intravascular foreign bodies, particularly in the heart, pose significant risks.
Purpose of the Study:
- To present six cases of catheter embolism.
- To describe techniques for retrieving intracardiac foreign bodies.
- To highlight the safety and efficacy of minimally invasive retrieval methods.
Main Methods:
- Review of six cases involving catheter embolism.
- Description of various percutaneous retrieval techniques.
- Emphasis on techniques performed under local anesthesia.
Main Results:
- Successful retrieval of catheter fragments from the heart in all six cases.
- Demonstration of rapid and safe retrieval procedures.
- Avoidance of open-chest surgery (thoracotomy) for all patients.
Conclusions:
- Percutaneous retrieval techniques are effective for managing catheter embolism in the heart.
- Local anesthesia is feasible for these procedures, enhancing patient safety.
- Minimally invasive retrieval offers a viable alternative to thoracotomy.
Abstract:
Six cases of catheter embolism are presented, and various techniques of retrieving these foreign bodies from the heart are described. The techniques may be carried out under local anaesthesia. They are rapid, safe and enable the patients to avoid thoracotomy.