Percutaneous retrieval of misplaced intravascular foreign objects with the Dormia basket: an effective solution.
OBJECTIVE
We report our experience of the retrieval of intravascular foreign body objects by the percutaneous use of the Gemini Dormia basket.


METHODS
Over a period of 2 years we attempted the percutaneous removal of intravascular foreign bodies in 26 patients. Twenty-six foreign bodies were removed: 8 intravascular stents, 4 embolization coils, 9 guidewires, 1 pacemaker lead, and 4 catheter fragments. The percutaneous retrieval was achieved with a combination of guide catheters and the Gemini Dormia basket.


RESULTS
Percutaneous retrieval was successful in 25 of 26 patients (96.2%). It was possible to remove all the intravascular foreign bodies with a combination of guide catheters and the Dormia basket. No complication occurred during the procedure, and no long-term complications were registered during the follow-up period, which ranged from 6 months to 32 months (mean 22.4 months overall).


CONCLUSIONS
Percutaneous retrieval is an effective and safe technique that should be the first choice for removal of an intravascular foreign body.
Sheth
Rahul
R
Department of Interventional Radiology, Sir H.N. Hospital, Mumbai, India. rahulsheth1@gmail.com
Someshwar
Vimal
V
Warawdekar
Gireesh
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods; D001808:Blood Vessels; D002404:Catheterization / Q000295:instrumentation*; D002648:Child; D002675:Child, Preschool; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome