A Novel Approach to the Removal of a Retained Guidewire

Retained intravascular foreign body is a rare, but well-documented complication of percutaneous procedures. We present a case of a novel approach of endovascular retrieval utilizing laparoscopic tools of a retained guidewire. A 74-year-old male presents with an implantable cardioverter defibrillator shock secondary to a retained J-wire from a prior right heart catheterization. Attempts at percutaneous retrieval were unsuccessful. A transjugular approach with laparoscopic tools was used for successful removal of the J-wire . Percutaneous intervention has made the retrieval of retained foreign bodies feasible, safe and effective in the majority of situations. However, creative endovascular approaches may be required as described in this case.  doi:10.4021/jmc233w