application of intravascular techniques to remove a broken tooth from the airways after emergency intubation a case report

Abstract Background: Tooth aspiration is a relatively uncommon complication of endotracheal intubation. Classic methods to remove a tooth from airways may fail in some cases, even rigid bronchoscopy, which is the method of choice for the removal of tracheobronchial Foreign Bodies (FB). Endovascular treatment is a potentially efficient treatment option in such cases. Case Presentation: We report a case of a 35-year-old man who was admitted to hospital after an emergent on-street intubation with a broken tooth lodged in the distal part of the bronchial tube. A few attempts to remove the tooth with standard laryngological endotracheal equipment were unsuccessful. Conclusion: Eventually, the tooth was successfully removed by an interventional radiologist with the use of intravascular tools including a microguidewire, balloon and loop. Usage of precise endovascular devices may be applied in successful removal of teeth or other foreign bodies from the tracheobranchial tree. Keywords Interventional Radiology; Perianesthetic Dental Injury; Treatment; Tooth Aspiration