2255. Percutaneous Retrieval of Intravascular Foreign Body: Single Centre Experience
Authors* Denotes Presenting Author
Vineel Inampudi *;
Pinnamaneni Siddhartha Institute of Medical Sciences
Pinnamaneni Siddhartha Institute of Medical Sciences is a tertiary care oncology center with majority of patients requiring placement of long term intravascular ports. Dislodgement or migration of the catheters have been encountered following long term usage/flow at high pressure. We present our experience of 390 cases of dislodged / migrated intravascular catheters in various locations.
Materials and Methods:
A prospective review of 390 patients (age ranging from 8 months to 67 years) with dislodged / migrated intravascular catheters referred to department of Interventional Radiology for percutaneous retrieval between March 2014 to March 2020. The procedure was performed using GE INNOVA 41001Q in Cathlab.
The catheter was dislodged into the Inferior Vena Cava(IVC) in 180 (46.1%) cases, catheter was seen in the Right Atrium extending into right ventricle in 60 (15.3%) cases, Pulmonary Artery extending to Right Hepatic vein in 45 (11.5%) cases, Superior Vena Cava (SVC) extending to Right atrium, IVC and proximal right hepatic vein in 37 (9.6%) cases, Right Internal Jugular Vein extending to SVC and Right Atrium in 29 (7.5%) cases, Right Atrium extending to IVC in 21 (5.4%) cases and Right Ventricle in 18 (4.6%) cases. The mechanism of endovascular loss was device fracture in 60 (15.3%) cases and migration in 330 (84.6%) cases. Snare was used to remove the Intravascular Foreign Body (IVFB) in 120 (30.7%) cases and a combination of pigtail catheter, snare in 270 (69.2%) cases. Technical success was achieved in 100% of cases. There were no immediate complications related to the retrieval of the IVFB.
Percutaneous Retrieval of Intravascular Foreign bodies is a minimal invasive and better alternative to surgery due to its high success rate and minimal morbidity.