Abstract

Percutaneous retrieval of foreign bodies in the heart and major vessels

Author(s): Nghia Thuong Nguyen, My Hoang Tai Nguyen

Background: Foreign bodies in the heart and major vessels usually occurs from some invasive procedural complications such as internal jugular vein catheterization for feeding or infusion of drugs, or some intervention procedures, etc. It can cause severe complications such as serious infection, hemorrhage and embolism. We review 25 cases of foreign bodies in the heart and major vessel from April 2006 to November 2019 in Cho Ray hospital.

Research design: Retrospective, case series We performed successfully 23/25 cases (92%) of percutaneous retrieval of foreign bodies in the heart and major vessels by goose-neck snares from April 2006 to November 2019 in the interventional cardiology department. The foreign bodies retrieved were a piece of a venous central catheter or a guidewire stuck in the right heart or the central venous, or stent, ASD occluder device, VSD occluder device or PFO occluder device dislodged during or just after interventional procedures.

Results: Percutaneous retrieval was successful in 23/25 patients (92%) with the use of goose-neck snares. No complications occurred during the procedures.

Conclusion: Percutaneous retrievals with goose neck snares is an effective and safe technique that should be the first choice for removing of foreign bodies in the heart and major vessels.