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Erschienen in: Pediatric Radiology 1/2012

01.01.2012 | Original Article

Percutaneous retrieval of intravascular venous foreign bodies in children

verfasst von: Anne Marie Cahill, Deddeh Ballah, Paula Hernandez, Lucia Fontalvo

Erschienen in: Pediatric Radiology | Ausgabe 1/2012

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Abstract

Background

The use of vascular lines both venous and arterial in children has significantly increased in the last decade with the potential risk that an intravascular device may become an intravascular foreign body. Percutaneous retrieval by interventional radiology has become an accepted method of foreign body removal.

Objective

The objective of this study is to describe a single center’s experience of percutaneous intravascular foreign body removal in pediatric patients.

Materials and methods

Between January 2000 and December 2008, 18 patients underwent percutaneous intravascular foreign body retrieval as a complication of venous access devices. The mean catheter days were 181.2 catheter days (1 to 1,146 days). A retrospective review was performed and demographic data and clinical information were recorded, including type, duration, location of access device, embolization location and retrieval technique.

Results

Eighteen of 19 (94.7%) retrievals were performed with single-loop snares and 1/19 (5.3%) was a triple-loop snare. Seventeen of 19 (89.5%) retrievals were successful. One unsuccessful retrieval was successfully removed by surgery, while the other was retained.

Conclusion

Percutaneous intravascular foreign body retrieval by interventional radiologists is a safe and effective method of retrieving embolized fragments from venous access devices in pediatric patients.
Literatur
1.
Zurück zum Zitat Fadrowski JJ, Hwang W, Neu AM et al (2009) Patterns of use of vascular catheters for hemodialysis in children in the United States. Am J Kidney Dis 53:91–98PubMedCrossRef Fadrowski JJ, Hwang W, Neu AM et al (2009) Patterns of use of vascular catheters for hemodialysis in children in the United States. Am J Kidney Dis 53:91–98PubMedCrossRef
2.
Zurück zum Zitat Carausu L, Clapisson G, Philip I et al (2007) Use of totally implantable catheters for peripheral blood stem cell apheresis. Bone Marrow Transplant 40:417–422PubMedCrossRef Carausu L, Clapisson G, Philip I et al (2007) Use of totally implantable catheters for peripheral blood stem cell apheresis. Bone Marrow Transplant 40:417–422PubMedCrossRef
3.
Zurück zum Zitat Matsuzaki A, Suminoe A, Koga Y et al (2006) Long-term use of peripherally inserted central venous catheters for cancer chemotherapy in children. Support Care Cancer 14:153–160PubMedCrossRef Matsuzaki A, Suminoe A, Koga Y et al (2006) Long-term use of peripherally inserted central venous catheters for cancer chemotherapy in children. Support Care Cancer 14:153–160PubMedCrossRef
4.
Zurück zum Zitat Puntis JW (1986) Percutaneous insertion of central venous feeding catheters. Arch Dis Child 61:1138–1140PubMedCrossRef Puntis JW (1986) Percutaneous insertion of central venous feeding catheters. Arch Dis Child 61:1138–1140PubMedCrossRef
5.
Zurück zum Zitat Yeung CY, Lee HC, Huang FY et al (1998) Sepsis during total parenteral nutrition: exploration of risk factors and determination of the effectiveness of peripherally inserted central venous catheters. Pediatr Infect Dis J 17:135–142PubMedCrossRef Yeung CY, Lee HC, Huang FY et al (1998) Sepsis during total parenteral nutrition: exploration of risk factors and determination of the effectiveness of peripherally inserted central venous catheters. Pediatr Infect Dis J 17:135–142PubMedCrossRef
6.
Zurück zum Zitat Bodner LJ, Nosher JL, Patel KM et al (2000) Peripheral venous access ports: outcomes analysis in 109 patients. Cardiovasc Intervent Radiol 23:187–193PubMedCrossRef Bodner LJ, Nosher JL, Patel KM et al (2000) Peripheral venous access ports: outcomes analysis in 109 patients. Cardiovasc Intervent Radiol 23:187–193PubMedCrossRef
7.
Zurück zum Zitat Chait PG, Ingram J, Phillips-Gordon C et al (1995) Peripherally inserted central catheters in children. Radiology 197:775–778PubMed Chait PG, Ingram J, Phillips-Gordon C et al (1995) Peripherally inserted central catheters in children. Radiology 197:775–778PubMed
8.
Zurück zum Zitat Fazeny-Dorner B, Wenzel C, Berzlanovich A et al (2003) Central venous catheter pinch-off and fracture: recognition, prevention and management. Bone Marrow Transplant 31:927–930PubMedCrossRef Fazeny-Dorner B, Wenzel C, Berzlanovich A et al (2003) Central venous catheter pinch-off and fracture: recognition, prevention and management. Bone Marrow Transplant 31:927–930PubMedCrossRef
9.
Zurück zum Zitat Morello FP, Donaldson JS, Saker MC et al (1999) Air embolism during tunneled central catheter placement performed without general anesthesia in children: a potentially serious complication. J Vasc Interv Radiol 10:781–784PubMedCrossRef Morello FP, Donaldson JS, Saker MC et al (1999) Air embolism during tunneled central catheter placement performed without general anesthesia in children: a potentially serious complication. J Vasc Interv Radiol 10:781–784PubMedCrossRef
10.
Zurück zum Zitat Lin CH, Wu HS, Chan DC et al (2010) The mechanisms of failure of totally implantable central venous access system: analysis of 73 cases with fracture of catheter. Eur J Surg Oncol 36:100–103PubMedCrossRef Lin CH, Wu HS, Chan DC et al (2010) The mechanisms of failure of totally implantable central venous access system: analysis of 73 cases with fracture of catheter. Eur J Surg Oncol 36:100–103PubMedCrossRef
11.
Zurück zum Zitat Chow LM, Friedman JN, Macarthur C et al (2003) Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr 142:141–144PubMedCrossRef Chow LM, Friedman JN, Macarthur C et al (2003) Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr 142:141–144PubMedCrossRef
12.
Zurück zum Zitat Surov A, Wienke A, Carter JM et al (2009) Intravascular embolization of venous catheter–causes, clinical signs, and management: a systematic review. JPEN J Parenter Enteral Nutr 33:677–685PubMedCrossRef Surov A, Wienke A, Carter JM et al (2009) Intravascular embolization of venous catheter–causes, clinical signs, and management: a systematic review. JPEN J Parenter Enteral Nutr 33:677–685PubMedCrossRef
13.
Zurück zum Zitat Surov A, Jordan K, Buerke M et al (2006) Atypical pulmonary embolism of port catheter fragments in oncology patients. Support Care Cancer 14:479–483PubMedCrossRef Surov A, Jordan K, Buerke M et al (2006) Atypical pulmonary embolism of port catheter fragments in oncology patients. Support Care Cancer 14:479–483PubMedCrossRef
14.
Zurück zum Zitat Pittiruti M, Cina A, Cotroneo A et al (2000) Percutaneous intravascular retrieval of embolised fragments of long-term central venous catheters. J Vasc Access 1:23–27PubMed Pittiruti M, Cina A, Cotroneo A et al (2000) Percutaneous intravascular retrieval of embolised fragments of long-term central venous catheters. J Vasc Access 1:23–27PubMed
15.
Zurück zum Zitat Mirza B, Vanek VW, Kupensky DT (2004) Pinch-off syndrome: case report and collective review of the literature. Am Surg 70:635–644PubMed Mirza B, Vanek VW, Kupensky DT (2004) Pinch-off syndrome: case report and collective review of the literature. Am Surg 70:635–644PubMed
16.
Zurück zum Zitat Dondelinger RF, Lepoutre B, Kurdziel JC (1991) Percutaneous vascular foreign body retrieval: experience of an 11-year period. Eur J Radiol 12:4–10PubMedCrossRef Dondelinger RF, Lepoutre B, Kurdziel JC (1991) Percutaneous vascular foreign body retrieval: experience of an 11-year period. Eur J Radiol 12:4–10PubMedCrossRef
17.
Zurück zum Zitat Liu JC, Tseng HS, Chen CY et al (2002) Percutaneous retrieval of intravascular foreign bodies: experience with 19 cases. Kaohsiung J Med Sci 18:492–499PubMed Liu JC, Tseng HS, Chen CY et al (2002) Percutaneous retrieval of intravascular foreign bodies: experience with 19 cases. Kaohsiung J Med Sci 18:492–499PubMed
18.
Zurück zum Zitat Wolf F, Schernthaner RE, Dirisamer A et al (2008) Endovascular management of lost or misplaced intravascular objects: experiences of 12 years. Cardiovasc Intervent Radiol 31:563–568PubMedCrossRef Wolf F, Schernthaner RE, Dirisamer A et al (2008) Endovascular management of lost or misplaced intravascular objects: experiences of 12 years. Cardiovasc Intervent Radiol 31:563–568PubMedCrossRef
19.
Zurück zum Zitat Aitken DR, Minton JP (1984) The ‘pinch-off sign’: a warning of impending problems with permanent subclavian catheters. Am J Surg 148:633–636PubMedCrossRef Aitken DR, Minton JP (1984) The ‘pinch-off sign’: a warning of impending problems with permanent subclavian catheters. Am J Surg 148:633–636PubMedCrossRef
20.
Zurück zum Zitat Hinke DH, Zandt-Stastny DA, Goodman LR et al (1990) Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 177:353–356PubMed Hinke DH, Zandt-Stastny DA, Goodman LR et al (1990) Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 177:353–356PubMed
21.
Zurück zum Zitat Sarzo G, Finco C, Zustovich F et al (2004) Early rupture of subclavian vein catheter: a case report and literature review. J Vasc Access 5:39–46PubMed Sarzo G, Finco C, Zustovich F et al (2004) Early rupture of subclavian vein catheter: a case report and literature review. J Vasc Access 5:39–46PubMed
22.
Zurück zum Zitat Nostdahl T, Waagsbo NA (1998) Costoclavicular pinching: a complication of long-term central venous catheters. A report of three cases. Acta Anaesthesiol Scand 42:872–875PubMedCrossRef Nostdahl T, Waagsbo NA (1998) Costoclavicular pinching: a complication of long-term central venous catheters. A report of three cases. Acta Anaesthesiol Scand 42:872–875PubMedCrossRef
23.
Zurück zum Zitat Denny DF Jr (1993) Placement and management of long-term central venous access catheters and ports. AJR 161:385–393PubMed Denny DF Jr (1993) Placement and management of long-term central venous access catheters and ports. AJR 161:385–393PubMed
24.
Zurück zum Zitat Ong CK, Venkatesh SK, Lau GB et al (2010) Prospective randomized comparative evaluation of proximal valve polyurethane and distal valve silicone peripherally inserted central catheters. J Vasc Interv Radiol 21:1191–1196PubMedCrossRef Ong CK, Venkatesh SK, Lau GB et al (2010) Prospective randomized comparative evaluation of proximal valve polyurethane and distal valve silicone peripherally inserted central catheters. J Vasc Interv Radiol 21:1191–1196PubMedCrossRef
25.
Zurück zum Zitat Fisher RG, Ferreyro R (1978) Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. AJR 130:541–548PubMed Fisher RG, Ferreyro R (1978) Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. AJR 130:541–548PubMed
26.
Zurück zum Zitat Liu JC, Tseng HS, Chen CY et al (2004) Percutaneous retrieval of 20 centrally dislodged Port-A catheter fragments. Clin Imaging 28:223–229PubMedCrossRef Liu JC, Tseng HS, Chen CY et al (2004) Percutaneous retrieval of 20 centrally dislodged Port-A catheter fragments. Clin Imaging 28:223–229PubMedCrossRef
27.
Zurück zum Zitat Leal Filho JM, Carnevale FC, Nasser F et al (2010) Endovascular techniques and procedures, methods for removal of intravascular foreign bodies. Rev Bras Cir Cardiovasc 25:202–208CrossRef Leal Filho JM, Carnevale FC, Nasser F et al (2010) Endovascular techniques and procedures, methods for removal of intravascular foreign bodies. Rev Bras Cir Cardiovasc 25:202–208CrossRef
28.
Zurück zum Zitat Savage C, Ozkan OS, Walser EM et al (2003) Percutaneous retrieval of chronic intravascular foreign bodies. Cardiovasc Intervent Radiol 26:440–442PubMedCrossRef Savage C, Ozkan OS, Walser EM et al (2003) Percutaneous retrieval of chronic intravascular foreign bodies. Cardiovasc Intervent Radiol 26:440–442PubMedCrossRef
29.
Zurück zum Zitat Gabelmann A, Kramer S, Gorich J (2001) Percutaneous retrieval of lost or misplaced intravascular objects. AJR 176:1509–1513PubMed Gabelmann A, Kramer S, Gorich J (2001) Percutaneous retrieval of lost or misplaced intravascular objects. AJR 176:1509–1513PubMed
30.
Zurück zum Zitat Koseoglu K, Parildar M, Oran I et al (2004) Retrieval of intravascular foreign bodies with goose neck snare. Eur J Radiol 49:281–285PubMedCrossRef Koseoglu K, Parildar M, Oran I et al (2004) Retrieval of intravascular foreign bodies with goose neck snare. Eur J Radiol 49:281–285PubMedCrossRef
31.
Zurück zum Zitat Gerlock AJ Jr, Mirfakhraee M (1987) Retrieval of intravascular foreign bodies. J Thorac Imaging 2:52–60PubMedCrossRef Gerlock AJ Jr, Mirfakhraee M (1987) Retrieval of intravascular foreign bodies. J Thorac Imaging 2:52–60PubMedCrossRef
32.
Zurück zum Zitat Paulus BM, Fischell TA (2010) Retrieval devices and techniques for the extraction of intravascular foreign bodies in the coronary arteries. J Interv Cardiol 23:271–276PubMedCrossRef Paulus BM, Fischell TA (2010) Retrieval devices and techniques for the extraction of intravascular foreign bodies in the coronary arteries. J Interv Cardiol 23:271–276PubMedCrossRef
33.
Zurück zum Zitat Bonvini RF, Rastan A, Sixt S et al (2009) Percutaneous retrieval of intravascular and intracardiac foreign bodies with a dedicated three-dimensional snare: a 3-year single center experience. Catheter Cardiovasc Interv 74:939–945PubMedCrossRef Bonvini RF, Rastan A, Sixt S et al (2009) Percutaneous retrieval of intravascular and intracardiac foreign bodies with a dedicated three-dimensional snare: a 3-year single center experience. Catheter Cardiovasc Interv 74:939–945PubMedCrossRef
34.
Zurück zum Zitat Andrews RE, Tulloh RM, Rigby ML (2002) Percutaneous retrieval of central venous catheter fragments. Arch Dis Child 87:149–150PubMedCrossRef Andrews RE, Tulloh RM, Rigby ML (2002) Percutaneous retrieval of central venous catheter fragments. Arch Dis Child 87:149–150PubMedCrossRef
Metadaten
Titel
Percutaneous retrieval of intravascular venous foreign bodies in children
verfasst von
Anne Marie Cahill
Deddeh Ballah
Paula Hernandez
Lucia Fontalvo
Publikationsdatum
01.01.2012
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 1/2012
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-011-2150-z

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