Endovascular retrieval of a fractured Lightning Bolt 7 Catheter from the femoral vein using the ClotTriever Thrombectomy System.

Authors

Eric D Cyphers, David S Shin, Samantha S Chau, Saif A Azam, Matthew Abad-Santos, Jeffrey Forris Beecham Chick

Published in

Journal of vascular surgery cases and innovative techniques. Volume 12. Issue 6. Pages 102482. Epub Aug 30, 2026.

Abstract

As large-bore mechanical thrombectomy is increasingly used to treat deep vein thrombosis (DVT), uncommon device-related adverse events, including catheter deformation, fracture, and retained intravascular foreign bodies, may be encountered. This study describes the case of a 60-year-old man with right lower-extremity DVT and pulmonary embolism in whom a Lightning Bolt 7 catheter (Penumbra) fractured during aspiration thrombectomy, resulting in a retained catheter fragment within the femoral vein that was refractory to snare retrieval attempts. During a subsequent procedure, the ClotTriever BOLD Thrombectomy System (Inari Medical), was used to successfully achieve simultaneous extraction of the embedded catheter fragment in its entirety and acute thrombus, restoring inline venous flow. This case highlights a salvage strategy using a large-bore, mechanically distinct thrombectomy device to retrieve a retained catheter fragment while simultaneously treating acute DVT.

PMID:
42831086
Bibliographic data and abstract were imported from PubMed on 05 Oct 2026.

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