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Title: A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction

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.

Authors:
;  [1];  [2]; ;  [1]
  1. University Hospital of Lausanne, Cardiothoracic and Vascular Unit, Department of Radiology (Switzerland)
  2. University Hospital of Lausanne, Department of Cardiology (Switzerland)
Publication Date:
OSTI Identifier:
22645487
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 8; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; FIBRIN; PATIENTS; SAFETY; STANDARDS; VASCULAR DISEASES; VERIFICATION

Citation Formats

Sotiriadis, Charalampos, Hajdu, Steven David, Degrauwe, Sophie, Barras, Heloise, and Qanadli, Salah Dine, E-mail: salah.qanadli@chuv.ch. A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction. United States: N. p., 2016. Web. doi:10.1007/S00270-016-1329-Y.
Sotiriadis, Charalampos, Hajdu, Steven David, Degrauwe, Sophie, Barras, Heloise, & Qanadli, Salah Dine, E-mail: salah.qanadli@chuv.ch. A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction. United States. doi:10.1007/S00270-016-1329-Y.
Sotiriadis, Charalampos, Hajdu, Steven David, Degrauwe, Sophie, Barras, Heloise, and Qanadli, Salah Dine, E-mail: salah.qanadli@chuv.ch. Mon . "A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction". United States. doi:10.1007/S00270-016-1329-Y.
@article{osti_22645487,
title = {A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction},
author = {Sotiriadis, Charalampos and Hajdu, Steven David and Degrauwe, Sophie and Barras, Heloise and Qanadli, Salah Dine, E-mail: salah.qanadli@chuv.ch},
abstractNote = {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.},
doi = {10.1007/S00270-016-1329-Y},
journal = {Cardiovascular and Interventional Radiology},
number = 8,
volume = 39,
place = {United States},
year = {Mon Aug 15 00:00:00 EDT 2016},
month = {Mon Aug 15 00:00:00 EDT 2016}
}