PMC3959064_01
UVC extending from IVC to pulmonary artery
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F1
During manipulation, the catheter got accidentally transected and embolized into the pulmonary artery with its one end still remaining in the inferior vena cava (IVC) [Figure 1].
UVC being snared
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F2
Though we could hold the catheter very well with the snare, its snared end was making a loop and could not be retrieved back into the 4 F sheath [Figure 2].
Balloon at the proximal end of retained UVC (bold arrow), venous sheath (thin arrow)
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F3
The balloon was inflated at 4 atmosphere pressure [Figure 3].
Entire assembly of venous sheath (thin arrow), balloon and UVC (bold arrow) being pulled out
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F4
The UVC was then brought up to the venous sheath, and the whole assembly (the UVC, Balloon, coronary guide wire and the venous sheath) was then retrieved back from the femoral vein en masse [Figure 4].