A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction.
Details
Serval ID
serval:BIB_75BAA4D6FA04
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction.
Journal
Cardiovascular and interventional radiology
ISSN
1432-086X (Electronic)
ISSN-L
0174-1551
Publication state
Published
Issued date
08/2016
Peer-reviewed
Oui
Volume
39
Number
8
Pages
1209-1212
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
With the increased use of implanted venous access devices (IVADs) for continuous long-term venous access, several techniques such as percutaneous endovascular fibrin sheath removal, have been described, to maintain catheter function. Most standard techniques do not capture the stripped fibrin sheath, which is subsequently released in the pulmonary circulation and may lead to symptomatic pulmonary embolism. The presented case describes an endovascular technique which includes stripping, capture, and removal of fibrin sheath using a novel filter device. A 64-year-old woman presented with IVAD dysfunction. Stripping was performed using a co-axial snare to the filter to capture the fibrin sheath. The captured fragment was subsequently removed for visual and pathological verification. No immediate complication was observed and the patient was discharged the day of the procedure.
Keywords
Catheters, Indwelling, Device Removal/methods, Endovascular Procedures/methods, Equipment Failure, Female, Fibrin, Humans, Middle Aged
Pubmed
Web of science
Create date
09/04/2016 16:20
Last modification date
25/12/2019 7:18