Endovascular retrieval of foreign body in persistent left-sided superior vena cava

Area of Science:

• Interventional Radiology
• Vascular Surgery
• Medical Device Complications

Background:

• Endovascular procedures are increasingly common, leading to a rise in associated complications.
• Foreign body retrieval is a critical intervention in managing these complications.
• Aberrant venous anatomy can complicate endovascular procedures.

Observation:

• A chemoport placement complication resulted in a retained foreign body.
• The foreign body's presence highlighted an incidental finding of a persistent left-sided superior vena cava.
• Imaging modalities were crucial in assessing the foreign body and aberrant anatomy.

Findings:

• Successful endovascular retrieval of the foreign body was performed by Interventional Radiology.
• The case underscores the importance of recognizing and managing aberrant venous anatomy during interventions.
• A review of endovascular foreign body retrieval cases provides practical considerations.

Implications:

• This case informs best practices for endovascular foreign body retrieval, especially in patients with unusual anatomy.
• Enhanced awareness of persistent left-sided superior vena cava can prevent future complications.
• Interventional Radiology plays a key role in managing complex endovascular device issues.