Percutaneous Retrieval of a Dislodged Guide Wire by Dormia Basket in a 98-year-old Patient, Still a Safe and Feasible Approach

N  Zirak; Gh  Soltani; A  Maraghe moghaddam; MH  Nezafati; M  Abbasi; H  Javan; Gh  Soltani

Percutaneous Retrieval of a Dislodged Guide Wire by Dormia Basket in a 98-year-old Patient, Still a Safe and Feasible Approach

N Zirak ¹ , Gh Soltani ^{1
, *} , A Maraghe moghaddam ² , MH Nezafati ¹ , M Abbasi ¹ and H Javan ³

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Article Notes and Dates

To Cite : Zirak N , Soltani G , Maraghe moghaddam A , Nezafati M , Abbasi M , et al. Percutaneous Retrieval of a Dislodged Guide Wire by Dormia Basket in a 98-year-old Patient, Still a Safe and Feasible Approach, Int Cardio Res J. 2010 ;4(2):e65020.

Abstract

Since the first report of percutaneous retrieval of intravascular foreign body in 1964, it has been accepted as a favorite
approach for intravascular foreign body removal. Various instruments such as snares, biopsy forceps, dormia
basket or tip deflecting wires are available for this approach. Herein, we report percutaneous retrieval of a dislodged
guide-wire by dormia basket. The Patient was a 98-year-old female who was admitted in the Intensive care unit due
to confusional state. The physian incharge left the guide-wire in her subclavian vein during central venous catheter
insertion. He realized his fault immediately, so he started anti-coagulation therapy and requested surgical consult.
Because of the patient’s high risk of surgery, the surgeon referred the patient to cardiologist for non-invasive guide
wire removal. The guide wire was apprpached through femoral vein by a dormia basket (4/6 F) and it was removed
without any difficulties or complications. Utilization of baskets for intravascular foreign body removal is frequently
reported and has been successful with low complication rates; In addition, the low cost of the device makes it less of
a burden to the patient and the hospital.

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