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Unintentionally retained vascular devices: improving recognition and removal
Gilbert Whang1, Ilya Lekht, Rita Krane
1Department of Radiology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA. whangg@med.usc.edu.
Diagnostic and Interventional Radiology (Ankara, Turkey)
|April 1, 2017
Summary
Unintentionally retained vascular devices (uRVD) are complications of minimally invasive procedures. Early radiologic diagnosis and minimally invasive removal techniques are crucial for patient safety and reducing adverse outcomes.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Vascular Surgery
Background:
- Minimally invasive intravascular device placement is increasing.
- This rise correlates with a higher incidence of procedure-related complications, notably unintentionally retained vascular devices (uRVD).
- Technical factors are primary contributors to uRVD, though complications may not be immediately apparent.
Observation:
- Unintentionally retained vascular devices (uRVD) can occur despite meticulous procedural techniques.
- These retained devices may not be identified during insertion or removal.
- Early and accurate radiologic diagnosis is essential when uRVD are suspected.
Findings:
- Diagnostic radiologists play a key role in identifying suspected uRVD.
- Effective communication of radiologic findings to referring clinicians is vital.
- Radiologists can employ strategies to enhance uRVD detection.
Implications:
- Prompt diagnosis of uRVD facilitates timely and safe removal.
- Minimally invasive percutaneous techniques offer effective solutions for uRVD retrieval.
- Successful management reduces patient morbidity, mortality, and medicolegal risks.
