Brachial Approach As an Alternative Technique of Fibrin Sheath Removal for Implanted Venous Access Devices.

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Version: Final published version
License: Not specified
Serval ID
serval:BIB_FC516B9E4FF8
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
Brachial Approach As an Alternative Technique of Fibrin Sheath Removal for Implanted Venous Access Devices.
Journal
Frontiers in surgery
Author(s)
Sotiriadis C., Hajdu S.D., Doenz F., Qanadli S.D.
ISSN-L
2296-875X
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
4
Pages
20
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Implanted venous access device (IVAD) late dysfunction is commonly caused by fibrin sheath formation. The standard method of endovascular fibrin sheath removal is performed via the femoral vein. However, it is not always technically feasible and sometimes contraindicated. Moreover, approximately 4-6 h of bed rest is necessary after the procedure. In this article, we describe an alternative method of fibrin sheath removal using the brachial vein approach in a young woman receiving chemotherapy for breast cancer. The right basilic vein was punctured, and a long 6°F introducer sheath was advanced into the right subclavian vein. Endovascular maneuvers consisted on advancing Atrieve™ Vascular Snare 15-9 mm after catheter insertion in the superior vena cava through a 5.2°F Judkins left catheter. IVAD patency was restored without any complication, and the patient was discharged immediately after the procedure. In conclusion, fibrin sheath removal from an obstructed IVAD could be performed via the right brachial vein. Further research is necessary in order to prove efficacy of this technique.
Pubmed
Open Access
Yes
Create date
29/04/2017 16:29
Last modification date
25/12/2019 7:18
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