[Percutaneous transfemoral foreign body removal from the heart or great vessels].
Removal of foreign bodies in the heart or great vessels was attempted via percutaneous transfemoral catheter retrieval system in 32 patients, antibiotic treatment--sometimes continued over many months--having failed to eradicate any septicaemia. In 28 patients it was possible to remove the foreign body with a special basket, forceps or sling catheter retrieval system. Most of the foreign bodies were broken-off pacing electrode fragments (n = 18). The most common site was the right ventricle (n = 15). 28 patients had had recurrent high fever; in 21 of them it was possible to identify the causative microorganism. Any fever ceased abruptly after removal of the foreign body. There were no complications ascribable to the procedure. The results indicate that, after foreign-body embolization, immediate removal is both necessary and possible.
Erdmann
E
E
Medizinische Klinik I, Universität München.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta; D001158:Arteries; D001424:Bacterial Infections / Q000209:etiology; D006328:Cardiac Catheterization; D003331:Coronary Vessels; D005334:Fever / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications / Q000628:therapy*; D006321:Heart; D006325:Heart Atria; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery; D013350:Subclavian Vein; D014682:Vena Cava, Inferior; D014683:Vena Cava, Superior
Perkutane transfemorale Fremdkörperentfernung aus dem Herzen oder aus grossen Gefässen.