Evidence map›Paper›PMID 27279874›Full record

ArticlePostepy w kardiologii interwencyjnej = Advances in interventional cardiology2016

Percutaneous retrieval of centrally embolized fragments of central venous access devices or knotted Swan-Ganz catheters. Clinical report of 14 retrievals with detailed angiographic analysis and review of procedural aspects.

Łukasz Kalińczuk, Zbigniew Chmielak, Artur Dębski, Cezary Kępka, Piotr N Rudziński, Sebastian Bujak, Mirosław Skwarek, Andrzej Kurowski, Zofia Dzielińska, Marcin Demkow

Open access · goldAbstract read
In one paragraph

Article in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Fishing a floating port-a-cath fragment from the right heart chambers.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2022
    Article
  3. Article
  4. Article
  5. Endovascular retrieval of ruptured and dislocated vascular catheter.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2018
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Łukasz KalińczukDepartment of Coronary and Structural Heart Diseases, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Zbigniew ChmielakDepartment of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Artur DębskiDepartment of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Cezary KępkaDepartment of Coronary and Structural Heart Diseases, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Piotr N RudzińskiDepartment of Coronary and Structural Heart Diseases, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Sebastian BujakDepartment of Coronary and Structural Heart Diseases, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Mirosław SkwarekDepartment of Coronary and Structural Heart Diseases, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Andrzej KurowskiDepartment of Anesthesiology, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Zofia DzielińskaDepartment of Coronary and Structural Heart Diseases, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Marcin DemkowDepartment of Coronary and Structural Heart Diseases, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland.
Institute of Cardiology · PLCorona (Poland) · PLCardinal Stefan Wyszyński University in Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTotally implantable venous access systems (TIVAS), Swan-Ganz (SG) and central venous catheters (CVC) allow easy and repetitive entry to the central cardiovascular system. Fragments of them may be released inadvertently into the cardiovascular system during their insertion or as a result of mechanical complications encountered during long-term utilization.

aimTo present results of percutaneous retrieval of embolized fragments of central venous devices or knotted SG and review the procedural aspects with a series of detailed angiographies. MATERIAL AND

methodsBetween January 2003 and December 2012 there were 14 (~0.025%) successful retrievals in 13 patients (44 ±16 years, 15% females) of embolized fragments of TIVAS (n = 10) or CVC (n = 1) or of dislodged guide-wires (n = 2) or knotted SG (n = 1).

resultsForeign bodies with the forward end located in the right ventricle (RV), as well as those found in the pulmonary artery (PA), often required repositioning with a pigtail catheter as compared to those catheter fragments which were located in the right atrium (RA) and/or great vein and possessed an accessible free end allowing their direct ensnarement with the loop snare (57.0% (4/7) vs. 66.7% (2/3) vs. 0.0% (0/3); p = 0.074 respectively). Procedure duration was 2-3 times longer among catheters retrieved from the PA than among those with the forward edge located in the RV or RA (30 (18-68) vs. 13.5 (11-37) vs. 8 min (8-13); p = 0.054 respectively). The SG catheter knotted in the vena cava superior (VCS) was encircled with the loop snare introduced transfemorally, subsequently cut at its skin entrance and then pulled down inside the 14 Fr vascular sheath.

conclusionsBy using the pigtail catheter and the loop snare, it is feasible to retrieve centrally embolized fragments or knotted central venous access devices.

Indexed as

central venous access devicesembolized fragmentsknottedpercutaneous retrieval

Identifiers

PMID27279874
PMCPMC4882387
OpenAlexW2400610717

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.