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Non-surgical extraction of a broken catheter sheath lodged in the right atrium, using a Dormia ureteral stone
British Heart Journal
|September 1, 1980
Insights
A broken Desillets Hoffman sheath lodged in the heart was successfully removed using a Dormia stone dislodger. This case highlights effective non-surgical techniques for extracting cardiac foreign bodies.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Foreign body retrieval from the heart presents significant challenges.
- Traditional surgical methods carry substantial risks.
- Minimally invasive techniques are increasingly preferred for cardiac interventions.
Observation:
- A fractured Desillets Hoffman sheath was identified within the right atrium.
- The foreign body caused no immediate hemodynamic compromise.
- Standard retrieval devices were not immediately applicable.
Findings:
- Successful extraction of the broken Desillets Hoffman sheath was achieved using a Dormia ureteral stone dislodger.
- The Dormia device, typically used for urological stones, proved effective in this cardiac application.
- This demonstrates the adaptability of urological tools in cardiovascular procedures.
Implications:
- The Dormia dislodger represents a viable, less invasive option for specific cardiac foreign body retrievals.
- This case expands the armamentarium for non-surgical removal of intracardiac foreign bodies.
- Further investigation into adapting urological devices for cardiac applications may yield innovative treatment strategies.
Abstract:
A broken Desillets Hoffman (DH) sheath which had lodged in the right atrium was extracted with the help of a Dormia ureteral stone dislodger. A critical appraisal of various non-surgical methods used so far to remove foreign bodies from the heart and great vessels is presented.