We describe a novel technique to retrieve broken catheter fragments from the vascular tree at difficult locations using a balloon. A coronary balloon can be taken over a microwire into the catheter fragment to hold it after inflation of the balloon and then the whole assembly can be gradually taken out. We used this novel technique successfully in three patients where the snare failed to retrieve the broken catheter fragment from vascular tree.
TurnerDDSomersSC: Accidental passage of a polyethylene catheter from cubital veins to right atrium. N Eng J Med251: 744–745, 1954.
2.
ThomasJSmithBS: Nonsurgical retrieval of a broken segment of a steel spring guide from the right atrium and inferior vena cava. Circulation30: 106–108, 1964.
3.
FisherRGFerreyroR: Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. Am J Radiol130: 541–548, 1978.
4.
WalserEMSavageC: Percutaneous unknotting and retrieval of Swan-Ganz catheter. Ann Thorac Surg75: 1027, 2003.
5.
FjallingMListAR: Transvascular retrieval of an accidentally ejected tip occluder and wire. Cardiovasc Intervent Radiol5: 34–361982.