Yan R, Lei XY, Li J, Jia LL, Wang HX. Removal of a pulmonary artery foreign body during pulse ablation in a patient with atrial fibrillation: A case report. World J Clin Cases 2023; 11(27): 6587-6591 [PMID: 37900217 DOI: 10.12998/wjcc.v11.i27.6587]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2023; 11(27): 6587-6591 Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6587
Removal of a pulmonary artery foreign body during pulse ablation in a patient with atrial fibrillation: A case report
Rui Yan, Xin-Yu Lei, Jun Li, Liang-Liang Jia, Hai-Xiong Wang
Rui Yan, Xin-Yu Lei, Jun Li, Hai-Xiong Wang, Department of Cardiology, Shanxi Cardiovascular Hospital, Taiyuan 030000, Shanxi Province, China
Liang-Liang Jia, The CT Room of the Imaging Department, Shanxi Cardiovascular Hospital, Taiyuan 030000, Shanxi Province, China
Author contributions: Yan R and Wang HX contributed equally to this work; Yan R, Wang HX, Lei XY, Jia LL, and Li J performed the research; Wang HX contributed new reagents and analytical tools; Yan R and Wang HX analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Supported bythe Natural Science Foundation of Shanxi Province, No. 20210302123346; and Shanxi Provincial Health Commission “Four batch” Science and Technology Innovation Project of Medical Development, No. 2021XM45.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: June 16, 2023 Peer-review started: June 16, 2023 First decision: July 28, 2023 Revised: August 9, 2023 Accepted: August 23, 2023 Article in press: August 23, 2023 Published online: September 26, 2023 Processing time: 96 Days and 6.5 Hours
Abstract
BACKGROUND
Foreign bodies in the pulmonary circulation have been documented in the literature and are typically caused by interventional procedures. However, reports of pulmonary artery foreign bodies during femoral vein puncture are rare, and there is no description of this complication from the guidewire surface flows into the pulmonary artery during a pulse ablation in a patient with atrial fibrillation.
CASE SUMMARY
We described a case in which a linear foreign body suddenly appeared on fluoroscopy image during pulsed ablation of atrial fibrillation. Multiposition angiography showed that the foreign body was currently lodged in the pulmonary artery but was hemodynamically stable. We then chose to use an interventional approach to remove the foreign body from the pulmonary artery. This foreign body was subsequently confirmed to be from the hydrophilic coating of the guidewire surface. This may be related to the difficulties encountered during the puncture of the femoral vein. This is a rare and serious complication of femoral vein puncture. Therefore, we reported this case in order to avoid a similar situation.
CONCLUSION
Mismatches between interventional devices from different manufacturers used for femoral venipuncture may result in pulmonary artery foreign bodies.
Core Tip: A case of pulmonary artery foreign body removal during pulsed atrial fibrillation ablation was reported. This is a rare and serious complication of femoral vein puncture. Therefore, we reported this case in order to avoid a similar situation.
