Skip to main content
Log in

Embolization and Transcatheter Retrieval of Coils and Devices

  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Embolizations of coils and devices are well-known complications of transcatheter procedures performed in order to occlude extracardiac or intracardiac shunts. A review of the literature and of our experience was performed to provide a succinct review of existing transcatheter retrieval techniques. After embolization of a coil or device, the appropriate initial procedure involves repositioning of the coil or device using a snare or bioptome to a location where harm to the patient is minimized. The subsequent retrieval technique depends on the characteristics of the coil or device involved. Coils may be retrieved using a bioptome or a snare. Devices must be snared, often in specific places. Both may be pulled into long or short, appropriately sized retrieval sheaths. To minimize potential morbidities associated with these retrievals and to maximize efficacy of retrieval, operators performing transcatheter coil or device occlusions must be familiar with retrieval techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11

Similar content being viewed by others

References

  1. JL Bass GS Kalra R Arora et al. (2003) ArticleTitleInitial human experience with the Amplatzer perimembranous ventricular septal occluder device Cathet Cardiovasc Interv 58 238–245 Occurrence Handle10.1002/ccd.10406

    Article  Google Scholar 

  2. M Braun V Gliech A Boscheri et al. (2004) ArticleTitleTranscatheter closure of patent foramen ovale (PFO) in patients with paradoxical embolism. Periprocedural safety and mid-term follow-up results of three different device occluder systems Eur Heart J 25 361–362 Occurrence Handle10.1016/j.ehj.2003.10.021 Occurrence Handle15033246

    Article  PubMed  Google Scholar 

  3. M Carminati S Giusti G Hausdorf et al. (2000) ArticleTitleA European multicentric experience using the CardioSEAL and STARFlex double umbrella devices to close interatrial communications holes within the oval fossa Cardiol Young 10 519–526 Occurrence Handle11049128

    PubMed  Google Scholar 

  4. M Chessa M Carminati G Bxitera et al. (2002) ArticleTitleEarly and late complications associated with transcatheter occlusion of secundum atrial septal defect J Am Coll Cardiol 39 1061–1065 Occurrence Handle10.1016/S0735-1097(02)01711-4 Occurrence Handle11897451

    Article  PubMed  Google Scholar 

  5. Davis R (August 28, 2004) Personal communication

  6. R Holzer D Balzer QL Cao et al. (2004) ArticleTitleDevice closure of muscular ventricular septal defects using the Amplatzer muscular ventricular septal defect occluder J Am Cardiol 43 1257–1263

    Google Scholar 

  7. TE Hong D Thaler J Brorson et al. (2003) ArticleTitleTranscatheter closure of patent foramen ovale associated with paradoxical embolism using the Amplatzer PFO occluder: initial and intermediate-term results of the U.S. multicenter clinical trial Cathet Cardiovasc Interv 60 524–528 Occurrence Handle10.1002/ccd.10674

    Article  Google Scholar 

  8. IC Huggon SA Qureshi J Reidy et al. (1994) ArticleTitlePercutaneous transcatheter retrieval of misplaced therapeutic embolisation devices Br Heart J 72 470–475 Occurrence Handle7818967

    PubMed  Google Scholar 

  9. AL Knauth JE Lock SB Perry et al. (2004) ArticleTitleTranscatheter device closure of congenital and postoperative residual ventricular septal defects Circulation 110 501–507 Occurrence Handle10.1161/01.CIR.0000137116.12176.A6 Occurrence Handle15262841

    Article  PubMed  Google Scholar 

  10. Latson LA (August 12, 2004) Personal communication

  11. DS Levi JW Moore (2004) ArticleTitleEmbolization and retrieval of the Amplatzer septal occluder Cathtet Cardiovasc Interv 61 543–547 Occurrence Handle10.1002/ccd.20011

    Article  Google Scholar 

  12. Mullins, CE (August 29, 2004) Personal communication

  13. RH Pass Z Hijazi DT Hsu et al. (2004) ArticleTitleMulticenter USA Amplatzer patent ductus arteriosus occlusion device trial J Am Coll Cardiol 44 513–519 Occurrence Handle10.1016/j.jacc.2004.03.074 Occurrence Handle15358013

    Article  PubMed  Google Scholar 

  14. M Peuster J Reckers C Fink (2003) ArticleTitleSecondary embolization of a Helex occluder implanted into a secundum atrial septal defect Cathet Cardiovasc Interv 59 77–82 Occurrence Handle10.1002/ccd.10478

    Article  Google Scholar 

  15. Smithson M (August 23, 2004) Personal communication

  16. BD Thanopoulos E Karanassios G Tsaousis et al. (2003) ArticleTitleCatheter closure of congenital/acquired muscular VSDs and perimembranous VSDs using the Amplatzer devices J Intervent Cardiol 16 1–9 Occurrence Handle10.1016/S0167-5273(02)00504-1 Occurrence Handle12664811

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J.W. Moore.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tan, C., Levi, D. & Moore, J. Embolization and Transcatheter Retrieval of Coils and Devices. Pediatr Cardiol 26, 267–274 (2005). https://doi.org/10.1007/s00246-005-1009-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-005-1009-1

Keywords

Navigation