[Percutaneous endovascular removal of temporary intraluminal shunt migrated during carotid endarterectomy].

Displacement of a temporary shunt during operations on the carotid arteries to various parts of the aorta and arteries of the lower extremities is an extremely rare complication, with only two reports encountered in the available literature. We herein describe a case of successful endovascular retrieval of a temporary intraluminal Flexcel™ shunt (LeMaitre Vascular, Inc.) having spontaneously migrated to the left common iliac artery during a left-sided carotid endarterectomy in a 69-year-old woman. CT with intravenous contrast enhancement of the abdominal cavity and lesser pelvis was used for topical localization of the migrated temporary shunt. The main tools for percutaneous endovascular removal of foreign bodies from the vascular bed were special nitinol loop snares.