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Case Reports
. 2017 Jan-Apr;10(1):65-68.
doi: 10.4103/0974-2069.197068.

Removal of a retained intracardiac radiolucent guidewire fragment using an Atrieve™ vascular snare using combined fluoroscopy and transesophageal echocardiography guidance in an infant

Asif Padiyath  1 , Eudice E Fontenot  1 , Boban P Abraham  1
Affiliations
Case Reports

Removal of a retained intracardiac radiolucent guidewire fragment using an Atrieve™ vascular snare using combined fluoroscopy and transesophageal echocardiography guidance in an infant

Asif Padiyath et al. Ann Pediatr Cardiol. 2017 Jan-Apr.

Abstract

Retained intravascular foreign body is a well-known complication of central venous access placement in children as well as adults. Most of these foreign bodies are radio-opaque and hence are removed under fluoroscopy guidance. In our case, we describe the removal of an intracardiac radiolucent foreign body in an infant utilizing a combination technique - transesophageal echocardiogram and fluoroscopy.

Keywords: Foreign body; intervention; pediatric; retrieval.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The chest X-ray shows retained guidewire fragment in the right neck measuring 1 cm in length
Figure 2
Figure 2
(a) Stored fluoroscopic image shows that the guidewire fragment has been modified after attempted removal with a goose neck snare. (b) Stored fluoroscopic image after attempted removal of the guidewire fragment shows that the guidewire has become radiolucent
Figure 3
Figure 3
Echocardiographic image shows the guidewire fragment extending from the superior vena cava across the tricuspid valve
Figure 4
Figure 4
Transesophageal echocardiogram shows the guidewire fragment extending from the superior vena cava to the right atrium
Figure 5
Figure 5
The vascular snare is shown with the retrieved guidewire. Uncoiling of the guidewire coil spring has resulted in thinning and lengthening of the guidewire fragment
Figure 6
Figure 6
The cartoon depicts the structure of a typical guide wire. The inner ribbon wire and core wire support the outer coil spring
See this image and copyright information in PMC

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