title: Percutaneous Removal of a Tiny Needle Fracture From the Right Ventricle of the Heart in a Drug Abuser.
abstract: OBJECTIVE
  To demonstrate the successful percutaneous removal of a tiny needle fracture from the heart with the use of a guide wire with a magnet at its distal end and two snares through both femoral veins.
  
  
  METHODS
  We report a rare case of a tiny needle fracture in the apex of the right ventricle of the heart in a drug abuser after its migration from the neck through the lumen of the right internal jugular vein. The procedure of the percutaneous approach and removal of this tiny foreign body was extremely difficult and dangerous due to its location and tiny size.
  
  
  CONCLUSIONS
  This percutaneous technique for the removal of a tiny foreign body from the heart was proven to be both effective and safe for the patient, and it provides a good therapeutic option for removal of intracardiac foreign bodies.
authors.affiliation: 1 Department of Interventional Cardiology, Papageorgiou General Hospital, Thessaloniki, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Bompotis
authors.affiliation: 2 Department of Otolaryngology, Papageorgiou General Hospital, Thessaloniki, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Karkanis
authors.affiliation: 2 Department of Otolaryngology, Papageorgiou General Hospital, Thessaloniki, Greece.
authors.forename: Angelos
authors.initials: A
authors.lastname: Chatziavramidis
authors.affiliation: 2 Department of Otolaryngology, Papageorgiou General Hospital, Thessaloniki, Greece.
authors.forename: Iordanis
authors.initials: I
authors.lastname: Konstantinidis
authors.affiliation: 1 Department of Interventional Cardiology, Papageorgiou General Hospital, Thessaloniki, Greece.
authors.forename: Petros
authors.initials: P
authors.lastname: Dokopoulos
authors.affiliation: 3 Department of Vascular Surgery, Papageorgiou General Hospital, Thessaloniki, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Lazaridis
authors.affiliation: 2 Department of Otolaryngology, Papageorgiou General Hospital, Thessaloniki, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Pyriochos
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods; D062906:Cardiac Catheters; D000072226:Computed Tomography Angiography; D020878:Device Removal / Q000295:instrumentation / Q000379:methods; D055030:Drug Users; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D059346:Magnets; D008297:Male; D008875:Middle Aged; D009339:Needles; D015819:Substance Abuse, Intravenous / Q000150:complications*; D016896:Treatment Outcome
keywords: endovascular; guide wire; intracardiac foreign body; needle; percutaneous removal; snare