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Inline balloon-assisted vascular sheath fragment removal.

PMID: 32886241 (view PubMed database entry)
DOI: 10.1186/s42155-020-00142-1 (read at publisher's website )
PMCID: PMC7474008 (free full text version available)

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Neema Jamshidi, Jason Chiang,

BACKGROUND:Unretrievable foreign bodies are associated with high morbidity and mortality. While the majority of reported cases involve the venous circulation, intra-arterial foreign body displacement have the potential to migrate more distally with a higher risk for dissection and hemorrhagic complications during retrieval. As the number of intravascular procedures continues to increase, there is also likely to be a concomittant increase in the number of retrieval procedures, particular for fractured catheters and sheaths. Although snaring is frequently the traditional, 'go-to' method for retrieval, there are inherent risks of further dislodgement or fracture. CASE REPORT:We describe a case that involves retrieval of a fractured sheath that originated in the common femoral artery but migrated into the popliteal artery. Different retrieval approaches were employed, however ultimately balloon assisted, over-the-wire retrieval was the successful approach. CONCLUSIONS:We anticipate that over-the-wire, inline-retrieval approaches will continue to grow in popularity and use, particularly with respect to manipulation within the arterial circulation.

CVIR Endovasc (CVIR endovascular)
[2020, 3(1):53]

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