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Percutaneous retrieval of foreign bodies from the cardiovascular system
Insights
This study shows percutaneous extraction of cardiovascular foreign bodies is safe and effective. A Dormia basket successfully retrieved iatrogenic objects in 10 patients without complications.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Device Retrieval
Background:
- Iatrogenic foreign bodies in the cardiovascular system pose a significant clinical challenge.
- Transcatheter retrieval is a minimally invasive option for managing these complications.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous retrieval of cardiovascular foreign bodies.
- To assess the utility of the Dormia basket for this procedure.
Main Methods:
- Percutaneous retrieval of iatrogenic cardiovascular foreign bodies in 10 patients.
- Use of a Dormia basket retrieval device in 9 out of 10 cases.
- Extraction from various cardiovascular locations including the right atrium, pulmonary artery, and iliac vessels.
Main Results:
- Successful retrieval of foreign bodies in all 10 patients.
- No procedural complications were reported.
- The Dormia basket demonstrated high success rates in diverse cardiovascular locations.
Conclusions:
- Percutaneous extraction is a highly successful and safe treatment for cardiovascular foreign bodies.
- The Dormia basket is an effective tool for transcatheter retrieval of these objects.
- This technique is indicated even for non-opaque foreign bodies.
Abstract:
The authors retrieved percutaneously an iatrogenic foreign body from the cardiovascular system in 10 patients without any complications. The Dormia basket catcher commonly used for stone extraction from the urinary tract was used in 9 out of 10 patients. The foreign body was extracted 6 times from the right atrium and once each from the pulmonary artery, the right ventricle, the iliac vein and the iliac artery. In view of the high rate of success of the transvasal retrieval and the absence of complications, practically every foreign body carried into the cardiovascular system represents an indication for its percutaneous extraction even in the case of not being opaque.