A Novel Approach to the Removal of a Retained Guidewire

Michael Tucciarone, Hussein Othman, Melissa Frederick, Andrew Boguszewski, Kumara Rama

Abstract


    Retained intravascular foreign body is a rare, but well-documented complication of percutaneous procedures. We present a case of a novel approach of endovascular retrieval utilizing laparoscopic tools of a retained guidewire. A 74-year-old male presents with an implantable cardioverter defibrillator shock secondary to a retained J-wire from a prior right heart catheterization. Attempts at percutaneous retrieval were unsuccessful. A transjugular approach with laparoscopic tools was used for successful removal of the J-wire. Percutaneous intervention has made the retrieval of retained foreign bodies feasible, safe and effective in the majority of situations. However, creative endovascular approaches may be required as described in this case.



 doi:10.4021/jmc233w


Keywords


J-Wire; Implantable Cardioverter-defibrillator (ICD); Superior Vena Cava (SVC); Inferior Vena Cava (IVC); Ventricular Tachycardia; intravascular foreign body; Autosuture Versa step 5mm port; alligator cystoscope forcep

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