ABSTRACT
In a patient with a distal common bile duct stone, a fracture of the traction wire of the basket occurring during the performance of mechanical lithotripsy resulted in the impaction of the lithotripter basket with a stone. The impacted lithotripter basket combined with a fracture of the traction wire is a rare complication of endoscopic stone removal. We were able to pull the impacted basket using an Amplatz goose-neck snare inserted via the percutaneous transhepatic route, which resulted in the freeing of the entrapped stone into the dilated supra-ampullary bile duct. The fractured traction wire and basket could be safely removed by pulling the traction wire from the mouth. The present report is the first to describe the safe and effective use of an Amplatz goose-neck snare for the management of a lithotripter basket impacted with a stone and a fractured traction wire.
Subject(s)
Aged , Humans , Male , Cholangiopancreatography, Endoscopic Retrograde , Device Removal/methods , Diagnosis, Differential , Equipment Failure , Gallstones/diagnostic imaging , Lithotripsy/instrumentation , Radiography, Interventional , Tomography, X-Ray Computed , Traction/instrumentationABSTRACT
For the immediate proper respiratory care of a delivered newborn, the face is wiped immediately, and the mouth and nares should be suctioned. A soft rubber syringe or soft rubber catheter is suitable for suctioning. If respirations are infrequent, suction of the mouth and pharynx serves to stimulate breathing. We experienced a case of a foreign body in the distal esophagus and stomach when the proximal catheter from a DeLee trap catheter was accidentally separated during neonatal repiratory care. Removal of foreign bodies with use of a goose neck snare system is a good retrieval procedure because of its excellent torque control, positive grasping capacity, excellent radioopacity, lack of traumatic effect, and availability in different sizes. We removed the displaced catheter successfully with an Amplatz goose neck snare.
Subject(s)
Humans , Infant, Newborn , Catheters , Esophagus , Foreign Bodies , Hand Strength , Mouth , Neck , Pharynx , Respiration , Rubber , SNARE Proteins , Stomach , Suction , Syringes , Torque , Upper Gastrointestinal TractABSTRACT
PURPOSE: To valuate the value of goose neck snare in removal of foreignbody in endovascular system. METHODS & MATERIAL: Foreignbody removal in endovascular system using goose neck snare were done in 4 cases. In one case, a broken guide-wire was located in left subclaviar vein and in three cases, guide-wires were located in vena cava. RESULTS: Technical success was achieved in all four cases. CONCLUSION: Goose neck snare technique is safe and effective in removal of Foreignbody in endovascular system.