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[Extraction of intravascular foreign bodies]
C Y Angel1, P Brenot, J Y Riou
1Département de Radiologie cardiovasculaire, Centre chirurgical Marie Lannelongue, Le Plessis-Robinson.
Presse Medicale (Paris, France : 1983)
|April 8, 1995
Summary
Percutaneous extraction is a successful method for removing intravascular foreign bodies, offering a less risky alternative to surgery. This technique is effective for various foreign materials, including diagnostic equipment and prostheses.
Area of Science:
- Cardiovascular Medicine
- Interventional Radiology
Background:
- Intravascular foreign bodies, including diagnostic equipment fragments and displaced prostheses, are increasingly common due to endovascular procedures.
- The presence of these foreign materials poses significant challenges for extraction.
Purpose of the Study:
- To evaluate the efficacy and safety of percutaneous extraction for intravascular foreign bodies.
- To compare percutaneous extraction with surgical removal for these devices.
Main Methods:
- A retrospective review of 56 cases involving percutaneous extraction of intravascular foreign bodies.
- Procedures were performed either during an initial catheterization or as a separate intervention.
Main Results:
- Percutaneous extraction achieved a high success rate, with 53 out of 56 cases being successful.
- The time from initial event to extraction varied widely, from hours to years.
- Extraction was performed during catheterization in 11 cases.
Conclusions:
- Percutaneous extraction should be the primary approach for intravascular foreign bodies due to its high success rate and lower risk compared to surgery.
- Surgical removal is often difficult and carries higher risks.
- Further research is needed to determine the precise frequency of intravascular foreign bodies.