Percutaneous removal of pulmonary intravascular foreign bodies in children

Usama Anwar1, Raja Shaikh1, Ahmad I Alomari1

  • 1Division of Pediatric Interventional Radiology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.

PubMed

Insights

Percutaneous removal of pulmonary intravascular foreign bodies in children is safe and effective. This study found a 100% success rate in retrieving these dangerous objects.

Area of Science:

  • Pediatric Interventional Radiology
  • Cardiovascular Surgery
  • Pulmonary Medicine

Background:

  • Pulmonary intravascular foreign bodies pose significant risks to children.
  • Catheter fragments are a common type of pulmonary foreign body.
  • Minimally invasive techniques are preferred for pediatric interventions.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous retrieval of pulmonary intravascular foreign bodies in pediatric patients.
  • To assess the success rate and complication profile of this minimally invasive approach.

Main Methods:

  • Retrospective analysis of a single-center cohort.
  • Inclusion of pediatric patients undergoing percutaneous foreign body removal over a 13-year period.
  • Review of procedural outcomes and complications.

Main Results:

  • Nine pediatric patients were included, with a mean age of 8.6 years.
  • Catheter fragments accounted for the majority of foreign bodies (7 out of 9).
  • Achieved a 100% success rate in foreign body retrieval with only one transient complication (arrhythmia).

Conclusions:

  • Percutaneous retrieval is a safe and highly effective treatment for pulmonary intravascular foreign bodies in children.
  • This minimally invasive method offers excellent outcomes and a low complication rate.
  • Supports the use of percutaneous techniques as a primary treatment option.
Abstract