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Inline balloon-assisted vascular sheath fragment removal.

Neema Jamshidi1, Jason Chiang2

  • 1Department of Radiological Sciences, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA. njamshidi@mednet.ucla.edu.

CVIR Endovascular
|September 5, 2020
PubMed
Summary

Retrieving fractured arterial sheaths can be dangerous. Balloon-assisted, over-the-wire retrieval successfully removed a migrated sheath from the popliteal artery, offering a safer alternative to traditional snaring.

Keywords:
Foreign body retrievalIntra-arterialIntravascular

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Retrieval

Background:

  • Intravascular foreign bodies, especially in arteries, pose significant risks including dissection and hemorrhage.
  • Fractured catheters and sheaths are common complications of intravascular procedures.
  • Traditional snaring techniques for retrieval carry risks of further dislodgement or device fracture.

Purpose of the Study:

  • To describe a successful retrieval of a fractured arterial sheath.
  • To highlight an alternative, safer retrieval method for intravascular foreign bodies.

Main Methods:

  • A case of a fractured sheath migrating from the common femoral artery to the popliteal artery is presented.
  • Various retrieval techniques were attempted.
  • Successful retrieval was achieved using a balloon-assisted, over-the-wire approach.

Main Results:

  • A fractured sheath was successfully retrieved from the popliteal artery.
  • The balloon-assisted, over-the-wire technique proved effective in this challenging case.
  • This method mitigated risks associated with traditional retrieval.

Conclusions:

  • Over-the-wire retrieval techniques are becoming increasingly important for intravascular procedures.
  • These methods offer a promising alternative for managing arterial foreign bodies.
  • Balloon-assisted, over-the-wire retrieval is a valuable technique for complex cases.