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Foreign Body Retrieval
Chad Davis, MD; Brandt C. Wible, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Outcomes

          TERMINOLOGY

          • Definitions

            • Intravascular foreign body (IFB) retrieval
              • Percutaneous removal of device/object abnormally lodged in vessel
                • Imaging guidance used during retrieval/removal
                  • Fluoroscopy most often used
                • Specialized snares/catheters/forceps needed

          PREPROCEDURE

          • Indications

            • Contraindications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Procedure Steps

                      • Alternative Procedures/Therapies

                        POST PROCEDURE

                        • Things to Do

                          OUTCOMES

                          • Complications

                            Selected References

                            1. Endovascular Today: Endovascular Today Device Guide: US Edition. Accessed February 2022. https://evtoday.com/device-guide/us
                            2. Mori K et al: "Pigtail through snare" technique: an easy and fast way to retrieve a catheter fragment with inaccessible ends. CVIR Endovasc. 4(1):24, 2021
                            3. Khayat M et al: Percutaneous interventional radiology-operated endoscopy for foreign body removal. Tech Vasc Interv Radiol. 22(3):149-53, 2019
                            4. Rossi UG et al: Materials and techniques for percutaneous retrieval of intravascular foreign bodies. J Vasc Access. 20(1):87-94, 2019
                            5. Kesselman AJ et al: Endovascular removal of fractured inferior vena cava filter fragments: 5-year registry data with prospective outcomes on retained fragments. J Vasc Interv Radiol. 29(6):758-64, 2018
                            6. Ross E et al: Foreign bodies in sigmoid colon diverticulosis. Clin J Gastroenterol. 10(6):491-7, 2017
                            7. Floridi C et al: Intravascular foreign bodies: what the radiologist needs to know. Semin Ultrasound CT MR. 36(1):73-9, 2015
                            8. Carroll MI et al: Endovascular foreign body retrieval. J Vasc Surg. 57(2):459-63, 2013
                            9. Schechter MA et al: Retrieval of iatrogenic intravascular foreign bodies. J Vasc Surg. 57(1):276-81, 2013
                            10. Woodhouse JB et al: Techniques for intravascular foreign body retrieval. Cardiovasc Intervent Radiol. 36(4):888-97, 2013
                            11. Bonvini RF et al: Percutaneous retrieval of intravascular and intracardiac foreign bodies with a dedicated three-dimensional snare: a 3-year single center experience. Catheter Cardiovasc Interv. 74(6):939-45, 2009
                            12. Tateishi M et al: Intravascular foreign bodies: danger of unretrieved fragmented medical devices. J Artif Organs. 12(2):80-9, 2009
                            13. Wolf F et al: Endovascular management of lost or misplaced intravascular objects: experiences of 12 years. Cardiovasc Intervent Radiol. 31(3):563-8, 2008
                            14. Sheth R et al: Percutaneous retrieval of misplaced intravascular foreign objects with the Dormia basket: an effective solution. Cardiovasc Intervent Radiol. 30(1):48-53, 2007
                            15. Savage C et al: Percutaneous retrieval of chronic intravascular foreign bodies. Cardiovasc Intervent Radiol. 26(5):440-2, 2003
                            16. Gabelmann A et al: Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol. 176(6):1509-13, 2001
                            17. Egglin TK et al: Retrieval of intravascular foreign bodies: experience in 32 cases. AJR Am J Roentgenol. 164(5):1259-64, 1995
                            18. Uflacker R et al: Intravascular foreign bodies: percutaneous retrieval. Radiology. 160(3):731-5, 1986
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Terminology

                              • Preprocedure

                                • Procedure

                                  • Outcomes

                                    TERMINOLOGY

                                    • Definitions

                                      • Intravascular foreign body (IFB) retrieval
                                        • Percutaneous removal of device/object abnormally lodged in vessel
                                          • Imaging guidance used during retrieval/removal
                                            • Fluoroscopy most often used
                                          • Specialized snares/catheters/forceps needed

                                    PREPROCEDURE

                                    • Indications

                                      • Contraindications

                                        • Preprocedure Imaging

                                          • Getting Started

                                            PROCEDURE

                                            • Patient Position/Location

                                              • Procedure Steps

                                                • Alternative Procedures/Therapies

                                                  POST PROCEDURE

                                                  • Things to Do

                                                    OUTCOMES

                                                    • Complications

                                                      Selected References

                                                      1. Endovascular Today: Endovascular Today Device Guide: US Edition. Accessed February 2022. https://evtoday.com/device-guide/us
                                                      2. Mori K et al: "Pigtail through snare" technique: an easy and fast way to retrieve a catheter fragment with inaccessible ends. CVIR Endovasc. 4(1):24, 2021
                                                      3. Khayat M et al: Percutaneous interventional radiology-operated endoscopy for foreign body removal. Tech Vasc Interv Radiol. 22(3):149-53, 2019
                                                      4. Rossi UG et al: Materials and techniques for percutaneous retrieval of intravascular foreign bodies. J Vasc Access. 20(1):87-94, 2019
                                                      5. Kesselman AJ et al: Endovascular removal of fractured inferior vena cava filter fragments: 5-year registry data with prospective outcomes on retained fragments. J Vasc Interv Radiol. 29(6):758-64, 2018
                                                      6. Ross E et al: Foreign bodies in sigmoid colon diverticulosis. Clin J Gastroenterol. 10(6):491-7, 2017
                                                      7. Floridi C et al: Intravascular foreign bodies: what the radiologist needs to know. Semin Ultrasound CT MR. 36(1):73-9, 2015
                                                      8. Carroll MI et al: Endovascular foreign body retrieval. J Vasc Surg. 57(2):459-63, 2013
                                                      9. Schechter MA et al: Retrieval of iatrogenic intravascular foreign bodies. J Vasc Surg. 57(1):276-81, 2013
                                                      10. Woodhouse JB et al: Techniques for intravascular foreign body retrieval. Cardiovasc Intervent Radiol. 36(4):888-97, 2013
                                                      11. Bonvini RF et al: Percutaneous retrieval of intravascular and intracardiac foreign bodies with a dedicated three-dimensional snare: a 3-year single center experience. Catheter Cardiovasc Interv. 74(6):939-45, 2009
                                                      12. Tateishi M et al: Intravascular foreign bodies: danger of unretrieved fragmented medical devices. J Artif Organs. 12(2):80-9, 2009
                                                      13. Wolf F et al: Endovascular management of lost or misplaced intravascular objects: experiences of 12 years. Cardiovasc Intervent Radiol. 31(3):563-8, 2008
                                                      14. Sheth R et al: Percutaneous retrieval of misplaced intravascular foreign objects with the Dormia basket: an effective solution. Cardiovasc Intervent Radiol. 30(1):48-53, 2007
                                                      15. Savage C et al: Percutaneous retrieval of chronic intravascular foreign bodies. Cardiovasc Intervent Radiol. 26(5):440-2, 2003
                                                      16. Gabelmann A et al: Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol. 176(6):1509-13, 2001
                                                      17. Egglin TK et al: Retrieval of intravascular foreign bodies: experience in 32 cases. AJR Am J Roentgenol. 164(5):1259-64, 1995
                                                      18. Uflacker R et al: Intravascular foreign bodies: percutaneous retrieval. Radiology. 160(3):731-5, 1986