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DOI: 10.1055/s-0035-1549058
Dislodged Guidewire in the Descending Aorta and Iliofemoral Artery during Transfemoral Sheath Placement: Percutaneous Retrieval via Contralateral Femoral Artery—An Innovative Approach
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Abstract
A case in which a 0.038-inch guidewire was inadvertently pushed into the common femoral-iliac and descending aorta, during sheath-guidewire placement, through the common femoral artery during cerebral angiogram is described here, and a successful retrieval system using a coronary guidewire is also described. A Boston Scientific MPXF 6Fr guiding catheter (Boston Scientific, Boston, Massachusetts, United States) shortened to 70 cm was advanced beyond the floppy tip of the guidewire through the left common femoral artery. A Cordis (Miami, Florida, United States) supersoft coronary guidewire of 0.014-inch diameter, bent on itself through the middle so as to have an available 90 cm, with the closed advancing tip splayed and bent at an angulation of 90 degrees to form a gooseneck, was advanced through the lumen of guiding catheter to seize the floppy tip of the guidewire acting like a snare and captivating it into the guiding catheter; and thereafter, the whole system was withdrawn en bloc.
Publication History
Publication Date:
21 March 2015 (online)
© 2015. Thieme. All rights reserved.
Neurological Surgeons' Society of India
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References
- 1 Heberer M, Moser J, Dürig M, Harder F. Prospective study of complications of central venous catheters [in German]. Infusionsther Klin Ernahr 1984; 11 (05) 254-261
- 2 Fisher RG, Ferreyro R. Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. AJR Am J Roentgenol 1978; 130 (03) 541-548
- 3 Watson LE. Snare loop technique for removal of broken steerable PTCA wire. Cathet Cardiovasc Diagn 1987; 13 (01) 44-49
- 4 Hartzler GO, Rutherford BD, McConahay DR. Retained percutaneous transluminal coronary angioplasty equipment components and their management. Am J Cardiol 1987; 60 (16) 1260-1264
- 5 Mintz GS, Bemis CE, Unwala AA, Hadjimiltiades S, Kimbiris D. An alternative method for transcatheter retrieval of intracoronary angioplasty equipment fragments. Cathet Cardiovasc Diagn 1990; 20 (04) 247-250
- 6 Foster-Smith K, Garratt KN, Holmes Jr DR. Guidewire transection during rotational coronary atherectomy due to guide catheter dislodgement and wire kinking. Cathet Cardiovasc Diagn 1995; 35 (03) 224-227
- 7 Brilakis ES, Best PJ, Elesber AA. et al. Incidence, retrieval methods, and outcomes of stent loss during percutaneous coronary intervention: a large single-center experience. Catheter Cardiovasc Interv 2005; 66 (03) 333-340
- 8 Gabelmann A, Kramer S, Gorich J. Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol 2001; 176 (06) 1509-1513
- 9 Kim MH, Cha KS, Kim JS. Retrieval of dislodged and disfigured transradially delivered coronary stent: report on a case using forcep and antegrade brachial sheath insertion. Catheter Cardiovasc Interv 2001; 52 (04) 489-491
- 10 Rozenman Y, Burstein M, Hasin Y, Gotsman MS. Retrieval of occluding unexpanded Palmaz-Schatz stent from a saphenous aorto-coronary vein graft. Cathet Cardiovasc Diagn 1995; 34 (02) 159-161
- 11 Antonellis IP, Patsilnakos SP, Pamboukas CA. et al. Successful withdrawal from the right coronary artery of an NIR stent dislodged from the balloon catheter. J Interv Cardiol 1999; 3: 215-218
- 12 Seong CK, Kim YJ, Chung JW. et al. Tubular foreign body or stent: safe retrieval or repositioning using the coaxial snare technique. Korean J Radiol 2002; 3 (01) 30-37
- 13 Madronero JL, Hein F, Bergbauer M. Removal of a ruptured, detached, and entrapped angioplasty balloon after coronary stenting. J Invasive Cardiol 2000; 12 (02) 102-104