RAPID-HANDLE Technique for Catheter Retrieval From the Pulmonary Artery Using a Homemade Snare With Adjustable Loop

Area of Science:

• Interventional Cardiology
• Vascular Surgery
• Medical Device Innovation

Background:

• Percutaneous retrieval of foreign bodies (PRFB) is challenging due to difficulties in grasping and safe removal.
• Current PRFB methods lack standardization, with both single and multi-loop snares available.
• A need exists for a reliable and efficient technique for intravascular foreign body retrieval.

Purpose of the Study:

• To introduce and evaluate a novel homemade snare and adjustable sheath technique for PRFB.
• To demonstrate the safety, reliability, and efficiency of the RAPID-HANDLE technique.
• To propose the RAPID-HANDLE technique as a standardized PRFB procedure.

Main Methods:

• Development of the Reliable grAsPing and secure retrieval of Intravascular foreign boDies with a HomemAde sNare and an introducer sheath with adjustable Diameter haemostatic valve (RAPID-HANDLE) technique.
• Utilizing a homemade snare and an introducer sheath with an adjustable diameter haemostatic valve.
• Case report of a 75-year-old man with a retained catheter fragment in the pulmonary artery.

Main Results:

• Successful percutaneous retrieval of a 10 cm catheter fragment from the pulmonary artery using the RAPID-HANDLE technique.
• Procedure completed in 39 minutes using a 14 F introducer sheath and a 7 F guiding catheter.
• The homemade snare effectively grasped and retrieved the foreign body.

Conclusions:

• The RAPID-HANDLE technique provides a safe, reliable, and efficient method for PRFB.
• This technique has the potential to become a standardized procedure for intravascular foreign body retrieval.
• The method is applicable to various intravascular and intracardiac foreign body retrieval cases.