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Case Reports
. 2021 Apr 24;7(2):361-363.
doi: 10.1016/j.jvscit.2021.03.014. eCollection 2021 Jun.

Complex endovascular retrieval of an intravascular foreign body

Tanner I Kim  1 , Valentyna Kostiuk  1 , Dirk Baumann  2 , Edouard Aboian  1
Affiliations
Case Reports

Complex endovascular retrieval of an intravascular foreign body

Tanner I Kim et al. J Vasc Surg Cases Innov Tech. .

Abstract

We report a case of a 54-year-old man who developed bilateral multifocal pneumonia as a result of septic thromboembolization from an ingested ballpoint pen that migrated through the gastrointestinal system and lodged in the inferior vena cava. The ballpoint pen was removed from the inferior vena cava with a complex endovascular approach using internal jugular and common femoral vein access with the combination of a snare device and atraumatic laparoscopic grasper. He was also found to have a duodenal perforation requiring primary repair in a staged fashion after endovascular removal of the ballpoint pen.

Keywords: Endovascular retrieval; Foreign body; Vascular surgery.

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Figures

Fig 1
Fig 1
Computed tomography scans demonstrating (A) bilateral cavitary lesions and (B) the presence of a pen within the inferior vena cava (IVC).
Fig 2
Fig 2
A, Intraoperative fluoroscopy demonstrating a transesophageal echocardiography probe, right jugular vein sheath, and right femoral vein sheath. B, Intravascular ultrasound image demonstrating an intraluminal thrombus.
Fig 3
Fig 3
The ballpoint pen that was successfully extracted from the inferior vena cava (IVC).
See this image and copyright information in PMC

References

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