Why the study?
Intracardiac foreign bodies are rare and traditionally required open heart surgery for removal, but recent advances support endovascular removal as the primary treatment option.
Case Report (n=1)
Endovascular removal is a safe and feasible approach for extracting intracardiac foreign bodies such as migrated PICC lines.
May support endovascular retrieval for migrated intracardiac PICC in select elderly patients; leaves open need for larger confirmatory studies.
Intracardiac foreign bodies (IFBs) are rare condition that can result in life-threatening complications. Traditionally, foreign body removal from the heart required open heart surgery, however, their removal from the heart has been successfully performed in recent years via an intravascular approach, and this is currently considered the primary treatment option. We describe an 84-year-old woman with a rupture of a peripherally inserted central catheter (PICC), which subsequently migrated to the right sections of the heart. An 84-year-old Caucasian woman with a PICC positioned through a right basilic vein went to the emergency department complaining of a rupture of the catheter. CT scan located PICC between the superior vena cava, right heart chambers, and pulmonary artery without signs of thrombosis. After a collaborative discussion, the endovascular removal of the PICC was decided. The same was successfully extracted from the patient, and the procedure lasted approximately 90 minutes. The current case underscores the criticality of prompt diagnosis and endovascular methods for rapidly recovering IFBs. It further emphasizes the importance of understanding endovascular techniques and tools to ensure effective management of such cases and that the endovascular approach proves to be a safe and feasible alternative for successfully treating IFBs.
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Sena et al. (2025) conducted a case report in Intracardiac foreign body (ruptured PICC) (n=1). Endovascular removal was evaluated on Successful extraction of the PICC.
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