Abstract
Catheterization and angiography heart's cavities are widespread performing to treatment and diagnostic different cardiovascular diseases, however these methods associated with specific iatrogenic complications, such as fragmentation of catheters, guidewires and other used instruments , which can lead to immigrate fragment parts to different areas in cardiovascular system. As a rule, removing radiopaque parts has no difficulties when they are free (no adhesion to tissues). However, adhesion of foreign bodies occurs as a result of their long staying in a human body, in these cases removing of radiopaque parts using endovascular methods may be difficult particularly when parts fixed to heart's wall. Multiple infusion catheters which used in children have a small diameters (3–4 F) and sometimes made of soft latex materials, particularly the catheters which used in port systems. The use of traditional approaches to remove fragments of foreign bodies in such patients is difficult and sometimes impossible, due to the lack of free ends, thrombus and soft latex catheter materials. Using different types of snares may lead to destruction of the foreign body into smaller fragments. In this case report , we presented an original method of removing foreign bodies in the form of latex infusion catheters in two children, this method allowed us to remove fragments efficiently and safely from the cardiovascular system, even with their significant duration in the child's body.
References
- Alekyan B.G., Staferov A.V. Endovascular removing of foreign bodies from the cardiovascular system. In: Alekyan B.G. (Ed.) Guidelines for endovascular surgery of heart and vascular diseases. Vol. 4. Structural heart disease. Moscow; 2017: 265–79 (in Russ.).
- Alekyan B.G., Petrosyan Yu.S., Mitina I.N., Zubkova G.A., Staferov A.V. Endovascular removing of foreign bodies from the cardiovascular system. Russian Journal of Thoracic and Cardiovascular Surgery. 1996; 6: 229 (in Russ.).
- Bockeria L.A., Alekyan B.G., Staferov A.V., Mitina I.N., Zubkova G.A. Transcatheter removing of foreign bodies from the cardiovascular system. Russian Annals of Surgery. 1999; 2: 44–6 (in Russ.).
- Grigoryeva N.A., Ulanova A.S., Pyatkov V.A., Turabov I.A. Detachment of the distal end of the catheter and its migration along the vascular bed during the operation of a fully implantable device (venous port system) in a child with acute lympho220 blastic leukemia (case report). Russian Journal of Pediatric Hematology and Oncology. 2015; 2 (2): 93–8 (in Russ.).
- Olkhova L.V., Popov V.E. The case of spontaneous separation of implanted venous port catheter and its migration to the right heart. Oncopediatria. 2018; 5 (2): 127–32 (in Russ.).
- Chow L.M., Friedman J.N., Macarthur C. et al. Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J. Pediatr. 2003; 142 (2): 141–4. DOI: 10.1067/mpd.2003.67
- Schechter M.A., O'Brien P.J., Cox M.W. Retrieval of iatrogenic intravascular foreign bodies. J. Vasc. Surg. 2013; 57: 276–81. DOI: 10.1016/j.jvs.2012.09.002
- Surov A., Wienke A., Carter J.M., Stoevesandt D., Behrmann C., Spielmann R.-P. et al. Venous catheter, intravascular embolization, pinch-off syndrome, venous access, internal medicine. J. Parent. Ent. Nutr. 2009; 33 (6): 677–85. DOI: 10.1177/0148607109335121
- Woodhouse J.B., Uberoi R. Techniques for intravascular foreign body retrieval. Cardiovasc. Interv. Radiol. 2013; 36 (4): 888–97. DOI: 10.1007/s00270-012-0488-8
- Thomas J., Sinclair Smith B., Bloomfield D. Nonsurgical retrieval of a broken segment of steel spring wire from the right atrium and inferior vena cava. Circulation. 1964; 30: 106–8. DOI: 10.1161/01.cir.30.1.106
- Floridi C., Nocchi-Cardim L., De Chiara M. et al. Intravascular foreign bodies: what the radiologist needs to know. Semin Ultrasound CT MR. 2015; 36 (1): 73–9. DOI: 10.1053/j.sult. 2014.11.001
- Liermann D., Kirchner J. Foreign body and stent retrieval. In: Textbook of peripheral interventions. Heuser R.R., Henry M., Dunitz M. (Eds.) 2004: 185–90.
- Kokshenev I.V., Kovalev D.V., Putyato N.A., Dontsova V.I. Removing a foreign bodies from the right heart. Children’s Heart and Vascular Diseases. 2012; 3: 58–61 (in Russ.).
- Steiner M.L., Bartley T.D., Byers F.M., Krovetz J. Polyethylene catheter in heart: Report of a case with successful removal. J. Am. Med. Assoc. 1965; 193: 1054–6. DOI: 10.1001/jama.1965.03090120062022
- DeGeare V.S., Safian R.D. Percutaneous retrieval of a large peripherally inserted central catheter remnant from the pulmonary arteries. Clin. Cardiol. 2001; 24 (1): 89.
- Gasparis A.P., Santana D., Blewett C. et al. Endoluminal retrieval of a dislodged umbilical vein catheter: a case report. Vasc. Endovasc. Surg. 2004; 38 (6): 583–6. DOI: 10.1177/153857440403800615
About the authors
- Andrey V. Sobolev, Cand. Med. Sc., Leading Researcher, ORCID
- Karen V. Petrosian, Dr. Med. Sc., Head of Department, ORCID
- Gulumzhan M. Dadabaev, Cand. Med. Sc., Researcher, ORCID
- Svetlana L. Storchak, Pediatric Cardiologist, ORCID
- Magomed A. Abdurazakov, Postgraduate, Cardiac Surgeon, ORCID