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Published on: May 26, 2023
A Case Series of Successful Percutaneous Retrieval of Intra-Arterial Broken Catheter Fragments Using Two Different
Sriram Veeraraghavan1, Stalin Roy2, Bharath Raj Kidambi3
1Department of Cardiology, Dr. Mehta's Hospitals - Global Campus, Chennai, Tamil Nadu, India.
Highlights:
Successful retrieval of intra-arterial broken catheter fragments using two distinct percutaneous techniques.Demonstrates practical balloon-assisted and snare-based retrieval strategies adaptable to varying anatomical challenges.Reinforces preventive strategies and decision-making framework for catheter-related hardware complications.
Abstract:
Over the past two decades, technological refinements, the introduction of newer tools, and both physician and patient preference for catheter-based techniques have contributed to a global increase in endovascular interventions. Despite these advancements, operators continue to encounter unforeseen hardware-related complications stemming from various factors. Globally, reports of broken or dislodged fragments of hardware-such as catheters, guidewires, angioplasty balloons, and stents-have become increasingly common. These fragments may result in life-threatening consequences. Accordingly, interventionists must remain vigilant and proficient in various retrieval techniques.We present two cases involving successful percutaneous retrieval of broken, dislodged, and embolized angiographic catheters from the coronary and renal arteries, each performed using a distinct technique.

