Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique.
We report on a new minimally invasive technique for the retrieval of a surgical pin fragment after accidental migration into the soft tissue of the shoulder in two patients. The technique is performed under local anaesthesia and uses combined CT and fluoroscopic guidance. The materials used were simple, combining a bone biopsy needle and an endoscopy clamp. Pin displacement was confirmed under fluoroscopic guidance and the clamp was used to withdraw the pin to the cutaneous entry point under CT (step-by-step) guidance. The CT slices provide perfect visualisation of the vascular or nervous structures as well as perfect positioning of the extremity of the trocar relative to the material to be removed. This intervention avoids a second surgical intervention with a longer incision and avoided repeated general anaesthesia.
Amoretti
Nicolas
N
Radiology Department, Centre Hospitalier Universitaire de Nice, 06200 Nice, France. amorettinicolas@yahoo.fr
Hauger
Olivier
O
Marcy
Pierre-Yves
PY
Hovorka
Istvan
I
Lesbats-Jacquot
Virginie
V
Fonquerne
Marie-Eve
ME
Maratos
Yvonne
Y
Boileau
Pascal
P
D003238:Connective Tissue / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery*; D005471:Fluoroscopy / Q000379:methods*; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D015641:Radiography, Interventional / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome