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Updated: Jul 1, 2025
Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case
Olivier Georges1, Florence De Dominicis2, Malek Ben Rahal2
1Department of Thoracic Surgery, Anesthesiology and Critical Care Medicine, Amiens University Hospital, 1, Rond Point du Pr Cabrol, 80054, Amiens Cedex 1, France. Georges.olivier@chu-amiens.fr.
Background:
Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management.
Case Presentation:
We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium. A minimally invasive approach guided by fluoroscopy allowed emergency wire extraction without needing a median sternotomy. The postoperative clinical course was uncomplicated.
Conclusions:
The use of pre- and per-operative multimodal imaging allowed for the safe extraction of an intra-pericardial Kirschner wire through a minimally invasive approach.
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