{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:30:24Z","timestamp":1761863424015},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,4,24]],"date-time":"2015-04-24T00:00:00Z","timestamp":1429833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2015,11,15]]},"abstract":"<jats:p>Transseptal introducer sheaths are being used with increasing frequency for left\u2010sided arrhythmia ablations and structural heart disease interventions. Sheath tip detachment and embolization is an uncommon but known complication, and several sheaths have been recalled due to such complications. We report a unique case of a fractured transseptal sheath tip that embolized to a branch of the right pulmonary artery in a patient who had undergone ablation of a left\u2010sided atypical atrial flutter. During final removal of one of the two long 8.5\u2010French SL1 transseptal sheaths used routinely as part of the ablation, the radiopaque tip of the sheath fractured and first embolized to the right atrium and subsequently to a secondary right pulmonary artery branch. Using techniques derived from percutaneous interventional approaches, including a multipurpose catheter, coronary guidewire, and monorail angioplasty balloon, the sheath tip was successfully wired through its inner lumen, trapped from the inside with the balloon, and removed from the body via a large femoral vein sheath, without complications. The approach detailed in this case may guide future cases and circumvent urgent surgical intervention. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ccd.25957","type":"journal-article","created":{"date-parts":[[2015,4,24]],"date-time":"2015-04-24T10:13:50Z","timestamp":1429870430000},"page":"1131-1135","source":"Crossref","is-referenced-by-count":2,"title":["Retrieval of a detached transseptal sheath tip from a right pulmonary artery branch following catheter ablation"],"prefix":"10.1002","volume":"86","author":[{"given":"Amir A.","family":"Schricker","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Disease Vascular Medicine Program University of California San Diego Medical Center, Sulpizio Family Cardiovascular Center La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory K.","family":"Feld","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Disease Vascular Medicine Program University of California San Diego Medical Center, Sulpizio Family Cardiovascular Center La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sotirios","family":"Tsimikas","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Disease Vascular Medicine Program University of California San Diego Medical Center, Sulpizio Family Cardiovascular Center La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.12.016"},{"key":"e_1_2_5_3_1","unstructured":"http:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfRes\/res.cfm?ID=49713."},{"key":"e_1_2_5_4_1","unstructured":"http:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfres\/res.cfm?id=77095."},{"key":"e_1_2_5_5_1","unstructured":"http:\/\/www.fda.gov\/MedicalDevices\/Safety\/ListofRecalls\/ucm203263.htm."},{"key":"e_1_2_5_6_1","unstructured":"http:\/\/www.fda.gov\/MedicalDevices\/Safety\/ListofRecalls\/ucm204165.htm."},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.130.3.541"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.72.5.470"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20449"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20011"},{"key":"e_1_2_5_11_1","first-page":"E44","article-title":"Retrieval of a detached partially expanded stent using the SpideRX and EnSnare devices\u2013a first report","volume":"20","author":"Hussain F","year":"2008","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23168"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-005-1009-1"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.57.4.329"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.25957","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.25957","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T17:57:08Z","timestamp":1696615028000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.25957"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,24]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,11,15]]}},"alternative-id":["10.1002\/ccd.25957"],"URL":"https:\/\/doi.org\/10.1002\/ccd.25957","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,24]]}}}