Percutaneous retrieval of intravascular foreign body in children: a case series and review

Background Percutaneous retrieval of intravascular foreign bodies has recently increased as a treatment option. Purpose To report our single-center experience of the percutaneous retrieval of 14 intravascular embolized catheter fragments in children and to conduct a literature review. Material and Methods MEDLINE databases were searched for case reports and series including children and iatrogenic catheter fragments or guidewires retrieved through percutaneous techniques. We also conducted a retrospective analysis of 14 cases from our institution over a 14-year period. A total of 27 studies were selected comprising 74 children, plus our 14 unpublished cases. Statistical analyses were performed using Microsoft Excel version 2016. Results Port catheter fragments and peripherally inserted central catheters (PICCs) were the most embolized foreign bodies and the pulmonary artery was the most common site of embolization in 44.1% of cases. Analysis of the retrieval technique demonstrated a preference for extraction through the femoral vein (81.7%) and using snare techniques (93.5%). The success rate of percutaneous retrieval was 96.6% with only 1.1% of procedure-related complications. Patients were asymptomatic in 77.2% of cases, presented septic complications in 2.3%, and no deaths were reported. Median fluoroscopy time was 10 min (range = 1.7–80 min) and median procedure length was 60 min (range = 35–208 min). Conclusion Percutaneous retrieval of intravascular foreign bodies is a feasible, safe, and efficient technique in children and should be considered the preferred treatment option.

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Materials and techniques for percutaneous retrieval of intravascular foreign bodies

The Journal of Vascular Access ◽

10.1177/1129729818785051 ◽

2018 ◽

Vol 20 (1) ◽

pp. 87-94 ◽

Cited By ~ 3

Author(s):

Umberto G Rossi ◽

Gian Andrea Rollandi ◽

Anna Maria Ierardi ◽

Alessandro Valdata ◽

Francesco Pinna ◽

...

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Case Reports ◽

Surgical Removal ◽

First Line ◽

Percutaneous Approach ◽

Percutaneous Retrieval ◽

The Past ◽

Intravascular Foreign Body ◽

Common Intervention

The presence of an intravascular foreign body represents a well-known risk of serious complications. While in the past surgical removal of intravascular foreign body was the most common intervention, nowadays a percutaneous approach in the retrieval of an intravascular foreign body is widely accepted as the first-line technique. In the literature, many case reports describe different techniques and materials. This article summarizes and illustrates the main materials and techniques currently applied for percutaneous retrieval of intravascular foreign body, providing a simplified tool with different interventional possibilities, adaptable to different clinical situations.

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The Fakir Child: Clinical Observation or Invasive Treatment?

Pediatric Reports ◽

10.3390/pediatric12030023 ◽

2020 ◽

Vol 12 (3) ◽

pp. 103-107

Author(s):

Antonio Gatto ◽

Serenella Angelici ◽

Claudia Di Pangrazio ◽

Lorenzo Nanni ◽

Danilo Buonsenso ◽

...

Keyword(s):

Emergency Department ◽

Foreign Bodies ◽

Case Reports ◽

Pediatric Population ◽

Case Series ◽

Expectant Management ◽

X Rays ◽

Gi Tract ◽

Invasive Treatment ◽

Foreign Objects

Accidental swallowing of foreign bodies is a common problem among the pediatric population (6 months to 3 years), especially if the foreign body (FB) presents a sharp end that could potentially lead to perforation of the gastrointestinal (GI) tract, resulting in infection and complications. We report the case of a 2-year-old, admitted to the Emergency Department of our hospital after ingesting two FBs classifiable as sharp objects, specifically two metal nails, both approximately 4-cm long, which had been swallowed in one go, as reported by the parents. The patient had been previously admitted to another hospital in the same region, where the Emergency Department (ED) doctors took an X-ray to confirm the ingestion. The foreign bodies ingestion was thus confirmed, and they were, according to their report, located in the GI tract over the stomach. The patient has been monitored through all of his stay in the hospital and the progression of the foreign bodies has been documented with serial X-rays. Since neither clinical nor radiological signs of perforation were present, putting the FBs in the small bowel, a non-operative expectant management was followed. After 4 days of admission, the patient had passed one of the two FBS and later on the second one, without any complication. Thereafter the patient was discharged. The management of sharp gastrointestinal foreign objects ingestion is still debated, and the data of the current literature are poor. A number of case reports and small case series describe successful conservative management for the majority of ingested sharp objects. According to the literature data, our report confirms that the ingestion of sharp objects and relatively big objects in a baby can be successfully non-operatively managed, even despite the age of the patient and though the FBs are multiple.

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Intralesional fenestration and corticosteroid injection for symptomatic Ledderhose disease of the foot: two case reports

10.21203/rs.3.rs-123430/v1 ◽

2020 ◽

Author(s):

George Flanagan ◽

Nicola Burt ◽

Ian Reilly

Keyword(s):

Triamcinolone Acetonide ◽

Treatment Option ◽

Local Anaesthetic ◽

Case Reports ◽

Corticosteroid Injection ◽

Case Series ◽

Post Treatment ◽

Lesion Volume ◽

Scientific Papers ◽

Ledderhose Disease

Abstract The description of corticosteroid injection as a treatment option for Ledderhose disease has received little attention in the literature and often merely receives a passing comment in scientific papers. We present a short case series of two patients that underwent corticosteroid injection in combination with fenestration to treat painful Ledderhose disease nodules. Both patients had their lesions injected on two occasions. Significant reduction in pain and lesion volume was seen at 12 months post treatment. Our protocol combines fenestration with the use of triamcinolone acetonide (mixed with local anaesthetic) which we believe conveys further advantage over corticosteroid infiltration alone.

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Percutaneous Retrieval of a Fragmented Port-a-Cath With the Snaring Technique

Disease and Diagnosis ◽

10.34172/ddj.2021.32 ◽

2021 ◽

Vol 10 (4) ◽

pp. 180-182

Author(s):

Hossein Farshidi ◽

Moazameh Mohammadi Soleimani ◽

Dariush Hooshyar

Keyword(s):

Foreign Bodies ◽

Femoral Vein ◽

Outer Part ◽

Venous Catheter ◽

Central Venous ◽

Percutaneous Retrieval ◽

X Ray ◽

History Of ◽

Chest X Ray

Background: Long-term use of central venous catheters is common in cancer patients for chemotherapy. The remaining of these catheters after the end of the treatment period can be associated with complications such as thrombosis and catheter fragmentation. Case Report: This report presents a 42-year-old woman with a history of colon cancer whose inner part of the vascular access was detached from the outer part after removing the central venous catheter, and the catheter remained inside the internal jugular vein. After preparing the patient’s chest X-ray, the catheter was removed from the femoral vein by percutaneous retrieval and successfully taken out using the snaring technique. Conclusion: Overall, percutaneous retrieval is a safe way to remove intravascular foreign bodies that can prevent major surgical complications.

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Rectal Foreign Bodies:A Retrospective Study

International Journal of Medical and Dental Sciences ◽

10.18311/ijmds/2017/18791 ◽

2017 ◽

Vol 6 (1) ◽

pp. 1367

Author(s):

Nishith M. Paul Ekka ◽

Shital Malua ◽

Pankaj Bodra

Keyword(s):

Retrospective Study ◽

Foreign Body ◽

Foreign Bodies ◽

Case Reports ◽

Demographic Data ◽

Case Series ◽

Rectal Foreign Bodies ◽

Obstetric Forceps ◽

Transanal Extraction ◽

Manual Extraction

Background: Reported incidence of rectal foreign bodies is rather rare with only isolated published case reports or case series. Controlled studies of patients with rectal foreign bodies have not been conducted. The approach to the management of these patients has not changed in the last 10-20 years.Objective: The aim of this study was to describe 16 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors from 2002 to 2016, and to establish an epidemiological and therapeutic pattern.Material and methods: This was a retrospective study that involved retrieval of folders belonging to patients who were treated for foreign body of rectum. The patients demographic data along with type of object (Foreign body), time of presentation and type of treatment required were recorded from the case folders.Results: All the 16 patients in our series were male with a mean age of 42 years. Household bottles (37.8%) were the most common foreign body while a majority of patients presented between 24 to 48 hrs. Laparotomy was done in 8 cases (50%) out of which in 7 cases transanal extraction was done by milking while in 1 case colostomy was done. Manual extraction was successful in 25% while forceps were helpful in another 25%.Conclusions: The incidence of rectal foreign bodies is disproportionately higher in men. Manual extraction with or without the help of obstetric forceps appears to be the treatment modality of choice. The appropriate technique will depend on the size and surface of the retained object and the presence of complications.

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Cavernous Malformations of the Optic Nerve and Optic Pathway: A Case Series and Systematic Review of the Literature

Operative Neurosurgery ◽

10.1093/ons/opab284 ◽

2021 ◽

Author(s):

Visish M Srinivasan ◽

Stefan W Koester ◽

Michele S Wang ◽

Redi Rahmani ◽

Kevin L Ma ◽

...

Keyword(s):

Systematic Review ◽

Optic Nerve ◽

Single Case ◽

Case Reports ◽

Case Series ◽

Senior Author ◽

Optic Pathway ◽

Review Of The Literature ◽

Cavernous Malformations ◽

Single Center Experience

Abstract BACKGROUND Although rare, cavernous malformations (CMs) of the optic nerve and anterior optic pathway (optic pathway cavernous malformations [OPCMs]) can occur, as described in several single case reports in the literature. OBJECTIVE To describe the technical aspects of microsurgical management of CMs of the optic pathway on the basis of an extensive single-center experience and review of the literature. METHODS A systematic literature review was performed to augment an earlier review, using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. In addition, an institutional database was searched for all patients undergoing surgical resection of OPCMs. Patient information, surgical technique, and clinical and radiographic outcomes were assessed. RESULTS Since the previous report, 14 CMs were resected at this institution or by the senior author at another institution. In addition, 34 cases were identified in the literature since the systematic review in 2015, including some earlier cases that were not discussed in the previous report. Most OPCMs were resected via pterional, orbital-pterional, and orbitozygomatic craniotomies. Visual outcomes were similar to those in earlier reports, with 70% of patients reporting stable to normal vision postoperatively. CONCLUSION OPCMs can occur throughout the anterior visual pathway and may cause significant symptoms. Surgery is feasible and should be considered for OPCMs presenting to a surface of the nerve. Favorable results can be obtained with resection, although optimal results are obtained with patients who present with milder symptoms without longstanding damage to the optic apparatus.

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Case series: 3 case reports of wooden periorbital foreign bodies at a single centre tertiary hospital

Advances in Oral and Maxillofacial Surgery ◽

10.1016/j.adoms.2021.100101 ◽

2021 ◽

pp. 100101

Author(s):

Stephen Yu ◽

Pritesh Narsinh ◽

Darryl Tong

Keyword(s):

Foreign Bodies ◽

Case Reports ◽

Case Series ◽

Tertiary Hospital ◽

Single Centre

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Intralesional fenestration and corticosteroid injection for symptomatic Ledderhose disease of the foot: Two case reports

SAGE Open Medical Case Reports ◽

10.1177/2050313x211011813 ◽

2021 ◽

Vol 9 ◽

pp. 2050313X2110118

Author(s):

George Flanagan ◽

Nicola Burt ◽

Ian N Reilly

Keyword(s):

Triamcinolone Acetonide ◽

Treatment Option ◽

Local Anaesthetic ◽

Case Reports ◽

Corticosteroid Injection ◽

Case Series ◽

Lesion Volume ◽

Scientific Papers ◽

Ledderhose Disease ◽

Corticosteroid Injections

The description of corticosteroid injections as a treatment option for Ledderhose disease has received little attention in the literature and often only receives a passing comment in scientific papers. We present a short case series of two patients who underwent corticosteroid injection in combination with fenestration to treat painful Ledderhose disease nodules. Both patients had their lesions injected on two occasions. Significant reduction in pain and lesion volume was seen at 12 months post treatment. Our protocol combines fenestration with the use of triamcinolone acetonide (mixed with local anaesthetic) which we believe conveys further advantage over other steroid preparations or the corticosteroid infiltration alone.

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Intralesional fenestration and corticosteroid injection for symptomatic Ledderhose disease of the foot: two case reports

10.21203/rs.3.rs-123430/v2 ◽

2021 ◽

Author(s):

George Flanagan ◽

Nicola Burt ◽

Ian Reilly

Keyword(s):

Triamcinolone Acetonide ◽

Treatment Option ◽

Local Anaesthetic ◽

Case Reports ◽

Corticosteroid Injection ◽

Case Series ◽

Lesion Volume ◽

Scientific Papers ◽

Ledderhose Disease ◽

Corticosteroid Injections

Abstract The description of corticosteroid injections as a treatment option for Ledderhose disease has received little attention in the literature and often only receives a passing comment in scientific papers. We present a short case series of two patients that underwent corticosteroid injection in combination with fenestration to treat painful Ledderhose disease nodules. Both patients had their lesions injected on two occasions. Significant reduction in pain and lesion volume was seen at 12 months post treatment. Our protocol combines fenestration with the use of triamcinolone acetonide (mixed with local anaesthetic) which we believe conveys further advantage over other steroid preparations or the corticosteroid infiltration alone.

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