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RAPID-HANDLE Technique for Catheter Retrieval From the Pulmonary Artery Using a Homemade Snare With Adjustable Loop

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Bibliographic Details
Title: RAPID-HANDLE Technique for Catheter Retrieval From the Pulmonary Artery Using a Homemade Snare With Adjustable Loop
Authors: Naotoshi Wada, Tetsuya Nomura, Tetsuya Tatsumi
Source: EJVES Vascular Forum, Vol 64, Iss, Pp 3-7 (2025)
Publisher Information: Elsevier BV, 2025.
Publication Year: 2025
Subject Terms: RD1-811, RC666-701, Homemade snare, Catheter fragmentation, Haemodynamic monitoring, Diseases of the circulatory (Cardiovascular) system, Surgery, Pinch off syndrome, Foreign body removal
Description: Introduction: Percutaneous retrieval of foreign bodies (PRFB) requires effective grasping of the foreign body and its safe removal through the sheath, a process that can be challenging. While both single loop and multi loop snare retrieval methods are available, no standard PRFB method has been established to date. This Technical Note proposes a foreign body removal technique using a homemade snare and an introducer sheath with an adjustable diameter haemostatic valve, named the Reliable grAsPing and secure retrieval of Intravascular foreign boDies with a HomemAde sNare and an introducer sheath with adjustable Diameter haemostatic valve (RAPID-HANDLE technique). This method enables safe, reliable, and efficient PRFB. Report: A 75 year old man underwent subcutaneous infusion port placement in the right subclavian vein for gastric cancer therapy. Eight months later, radiography revealed a retained catheter fragment in the pulmonary artery. Computed tomography confirmed a 10 cm catheter fragment straddling the main trunk of the pulmonary artery. PRFB was performed the same day using a 14 F DrySeal Flex introducer sheath inserted through the right common femoral vein. A 7 F guiding catheter was positioned into the main pulmonary artery trunk and the transected end of the catheter was successfully grasped and retrieved using a homemade snare. The total procedure time was 39 minutes. Discussion: PRFB was successfully completed with the RAPID-HANDLE technique. It is believed that this approach could serve as a standardised procedure for PRFB and is applicable to other intravascular or intracardiac cases.
Document Type: Article
Language: English
ISSN: 2666-688X
DOI: 10.1016/j.ejvsvf.2025.05.002
Access URL: https://doaj.org/article/ae26decb7a5648d899ff3a45567c7535
Rights: CC BY NC ND
Accession Number: edsair.doi.dedup.....b1935c4e53ad8043b844abd186585a9b
Database: OpenAIRE
Description
Abstract:Introduction: Percutaneous retrieval of foreign bodies (PRFB) requires effective grasping of the foreign body and its safe removal through the sheath, a process that can be challenging. While both single loop and multi loop snare retrieval methods are available, no standard PRFB method has been established to date. This Technical Note proposes a foreign body removal technique using a homemade snare and an introducer sheath with an adjustable diameter haemostatic valve, named the Reliable grAsPing and secure retrieval of Intravascular foreign boDies with a HomemAde sNare and an introducer sheath with adjustable Diameter haemostatic valve (RAPID-HANDLE technique). This method enables safe, reliable, and efficient PRFB. Report: A 75 year old man underwent subcutaneous infusion port placement in the right subclavian vein for gastric cancer therapy. Eight months later, radiography revealed a retained catheter fragment in the pulmonary artery. Computed tomography confirmed a 10 cm catheter fragment straddling the main trunk of the pulmonary artery. PRFB was performed the same day using a 14 F DrySeal Flex introducer sheath inserted through the right common femoral vein. A 7 F guiding catheter was positioned into the main pulmonary artery trunk and the transected end of the catheter was successfully grasped and retrieved using a homemade snare. The total procedure time was 39 minutes. Discussion: PRFB was successfully completed with the RAPID-HANDLE technique. It is believed that this approach could serve as a standardised procedure for PRFB and is applicable to other intravascular or intracardiac cases.
ISSN:2666688X
DOI:10.1016/j.ejvsvf.2025.05.002