Retained foreign body in radial artery: Endovascular retrieval and salvage of a hemodialysis arteriovenous fistula

Abstract

A foreign body was inadvertently retained in the patient’s radial artery during a previous endovascular procedure, leading to early recurrent thrombosis of his hemodialysis arteriovenous fistula. Through the strategic use of ultrasound, a through-and-through wire, as well as sequential balloon inflation to “push” the foreign body, it was successfully retrieved endovascularly, leading to effective salvage of the patient’s hemodialysis access.

Keywords

Intravascular foreign body endovascular balloon angioplasty percutaneous thrombectomy intervention nephrology

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References

Woodhouse

Uberoi

Techniques for intravascular foreign body retrieval. Cardiovasc Intervent Radiol 2013; 36: 888–897.

Rossi

Rollandi

Ierardi

, et al Materials and techniques for percutaneous retrieval of intravascular foreign bodies. J Vasc Access 2018; 20: 87–94.

Gabelmann

Kramer

Gorich

Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol 2001; 176: 1509–1513.

Aslam

Sarker

Bhattacharya

A rare complication of radial artery cannulation. J Med Ultrasound 2012; 20: 183–185.

Feinstein

Draeger

RW.

Intra-arterial foreign body following radial artery cannulation requiring microsurgical removal: case report and review of the literature. J Hand Microsurg 2020; 12: S45–S49.

Luo

C-F

Mao

C-C

B-C

, et al An iatrogenic complication of radial artery cannulation. Acta Anaesthesiol Taiwan 2010; 48: 145–147.