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Intravascular foreign body retrieval.

Ricardo Correia1, Ana Garcia1, Nelson Camacho1

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Intravascular foreign body retrieval (IFBR) using open or endovascular methods is highly successful with minimal complications. The choice of technique depends on surgeon preference and device availability, offering excellent patient outcomes.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Complications

Background:

  • Intravascular foreign body (IFB) embolization is a known risk following vascular procedures.
  • Retrieval of these embolized foreign bodies can be performed via percutaneous endovascular techniques or open surgical intervention.

Purpose of the Study:

  • To evaluate the technical success, complication rates, and survival following intravascular foreign body retrieval (IFBR).
  • To compare outcomes between endovascular and open surgical approaches for IFBR.

Main Methods:

  • Retrospective review of patients undergoing endovascular or open IFBR since 2011.
  • Primary endpoint: technical retrieval success. Secondary endpoints: procedure-related complications and 30-day survival.

Main Results:

  • Twenty-seven patients underwent IFBR, with a median retrieval time of less than one day.
  • Open surgery achieved 100% success, while endovascular procedures had an 87% success rate.
  • No IFBR-related complications occurred, and 30-day survival was 100%.

Conclusions:

  • Intravascular foreign body embolization can be reduced through careful device management.
  • Both open and endovascular IFBR demonstrate high success rates and low morbidity.
  • The selection of retrieval method is influenced by surgeon expertise and available resources.