title: A new approach of extracting embolized venous catheters using a large-diameter steerable sheath under biplane fluoroscopy.
abstract: To report the efficacy of a new percutaneous technique for extraction of embolized catheters, five female patients (62 ± 14 years) referred to our institution were analyzed. With the combination of a large-diameter steerable sheath with a sizeable snare system, three dislodged Port-A-Cath tubes and two ventriculoatrial shunts were retrieved successfully. Mean procedure time was 51 ± 23 min, biplane fluoroscopy time was 22 ± 21 min, and dose area product was 1188 ± 992 dGy cm(2). Percutaneous extraction of embolized venous catheters is highly effective with the help of this novel, self-assembled system. The presented technique provides major advantages with respect to three-dimensional steerability and should be considered for complex cases.
authors.affiliation: Department of Cardiology, Salzburger Landeskliniken, Paracelsus Private Medical University Salzburg, Austria. b.strohmer@salk.at
authors.forename: Bernhard
authors.initials: B
authors.lastname: Strohmer
authors.forename: Johann
authors.initials: J
authors.lastname: Altenberger
authors.forename: Maximilian
authors.initials: M
authors.lastname: Pichler
mesh_terms: D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008875:Middle Aged; D011829:Radiation Dosage; D015641:Radiography, Interventional / Q000379:methods*; D012189:Retrospective Studies