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Percutaneous Retrieval of Foreign Bodies Around Vital Vessels Aided with Vascular Intervention: A Technical Note

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Abstract

Objective

To describe a new interventional technique to remove foreign bodies (FBs) embedded in soft tissues around vital vessels.

Methods

Under fluoroscopic guidance and using local anesthesia, percutaneous removal of FBs was performed using forceps in nine patients. All patients suffered from a metallic soft tissue FB located in close proximity to important vessels and one also had a small traumatic pseudoaneurysm adjacent to the FB. Prior to removal of the FB, the position of the nearest vessel was identified using a guide wire or catheter placed into the vessel. Balloon catheter was also simultaneously used to temporarily stop the blood flow of the nearest artery during the FB removal in three of the nine patients.

Results

All of the nine FBs with 0–2 mm interval to the nearest vessel were successfully removed in the nine patients without any serious complications. The removed FBs measured 3–12 mm in length and 1–3 mm in width. The total fluoroscopic time of retrieval of each FB was 5–9 min (mean, 6.4 min). The volume of intraoperative bleeding ranged from 5 to 12 ml (mean, 7.5 ml). The length of hospital stay for each patient ranged from 4 to 8 days (mean, 5.5 days).

Conclusion

Vascular intervention-aided percutaneous FB removal is minimally invasive and an effective method for removal of FBs around vital vessels.

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Acknowledgments

This study is supported by Scientific Research Fund from Shanghai Municipal Health Bureau (Program Code: 2008186) and Jiangsu University Medical Science Fund (Program Code: JLY2010059). All authors, Dr XJ Yang and Dr GF Xing, would like to submit our paper and the copyright transfer to this journal.

Conflict of Interest

All the authors and the institution had no conflict of interests.

Statements of Ethical Approval and Informed Consent

This study was reviewed and approved by the Institutional Review Board of our hospital and all patients provided their written consent to participate in this study.

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Authors and Affiliations

  1. Department of Radiology, Shanghai Eighth People’s Hospital, 8 Caobao Rd, Xuhui District, Shanghai, 200235, China

    Xiu-Jun Yang

  2. Department of General Surgery, Shanghai Eighth People’s Hospital, 8 Caobao Rd, Xuhui District, Shanghai, 200235, China

    Guang-Fu Xing

Authors
  1. Xiu-Jun Yang
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  2. Guang-Fu Xing
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Correspondence to Xiu-Jun Yang.

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Yang, XJ., Xing, GF. Percutaneous Retrieval of Foreign Bodies Around Vital Vessels Aided with Vascular Intervention: A Technical Note. Cardiovasc Intervent Radiol 38, 1271–1276 (2015). https://doi.org/10.1007/s00270-014-1010-2

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  • DOI: https://doi.org/10.1007/s00270-014-1010-2

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