Ultrasound-assisted foreign body extraction (U-SAFE): Review of technique and technical pearls.
foreign body
removal
ultrasonography
ultrasound
Journal
Journal of medical imaging and radiation oncology
ISSN: 1754-9485
Titre abrégé: J Med Imaging Radiat Oncol
Pays: Australia
ID NLM: 101469340
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
03
05
2021
accepted:
03
08
2021
pubmed:
17
8
2021
medline:
6
4
2022
entrez:
16
8
2021
Statut:
ppublish
Résumé
Soft tissue foreign bodies are a common presentation to emergency departments and primary care. They have variable presentations and associated morbidity depending on their acuity, location, functional impairment and neurovascular involvement. Traditional removal has utilised blind technique or surgical exploration. Their removal can be difficult secondary to induration, inflammation, granulation and scar tissue. Ultrasonography has emerged as a minimally invasive and inexpensive method of examination and retrieval. This article entails ultrasound-guided foreign body extraction with associated pearls of experience. From March 2017 to August 2020, a fellowship trained interventional radiologist and a fellowship trained musculoskeletal radiologist performed 52 foreign body extractions under ultrasound guidance at a single institution. 52 foreign body extractions occurred over 3-year time period with a 95% success rate. The most common location of foreign body was the finger (62%) and feet/toes (17%). Foreign bodies identified include wood (31%), plant-based material (29%), metal (17%), glass (17%) and synthetic material (6%). Two unsuccessful cases were secondary to delayed presentation with significant foreign body reaction and the 2 Ultrasonography-guided foreign body extraction is a minimally invasive, efficient and targeted technique for foreign body removal.
Identifiants
pubmed: 34396705
doi: 10.1111/1754-9485.13313
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
362-369Informations de copyright
© 2021 The Royal Australian and New Zealand College of Radiologists.
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