JEVTM Journal of Endovascular Resuscitation and Trauma Management JEVTM 2002-7567 Universitetssjukhuset Örebro 10.26676/jevtm.20311 JEVTM_20311 Images of Interest Endovascular Snaring of a Foreign Body MauritzsonDaniel1 Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Sweden Corresponding author: Daniel Mauritzson, Department of Surgery, Örebro University Hospital, Sweden. Email: daniel.mauritzson@regionorebrolan.se.

The author declares that they have no conflicts of interest.

The author received no financial support for the research, authorship, and/or publication of this article.

 29 02 2024 7 3 103 105 24 01 2024 31 01 2024 Copyright: © 2024 The Author(s) 2024 The Author(s) This is an open access article published under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Keyword Endovascular Techniques

We present the case of a 79-year-old patient with critical ischemia who underwent PTA in his left external iliac artery with stent placement, as well as PTA in the SFA using crossover access through a retrograde puncture in his right femoral artery. At postoperative follow-up the patient complained of extertion-induced pain in his right lower leg and was referred for a computer tomography angiography (CTA). CTA revealed a foreign body resembling the remnant of a guide wire in the midsection of the SFA (Figure 1). To retrieve the foreign body we used an endovascular approach with a snare (AndraTec Exeter Snare ES-25) to catch the foreign body, which was then easily extracted through the 6 French introducer used for access via an antegrade puncture in the patient’s right femoral artery (Figures 2–6).

CTA showing the foreign body in the midsection of the SFA.

Angiography of the SFA with the foreign body.

The snare advanced distal of the foreign body.

Snaring of the foreign body.

Final angiography after extraction of the foreign body.

The extracted foreign body.

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