Details

Autor(en) / Beteiligte

• Sotiriadis, Charalampos
• Hajdu, Steven David
• Degrauwe, Sophie
• Barras, Heloise
• Qanadli, Salah Dine

Titel

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

Ist Teil von

• Cardiovascular and interventional radiology, 2016-08, Vol.39 (8), p.1209-1212

Ort / Verlag

New York: Springer US

Erscheinungsjahr

2016

Quelle

SpringerLink (Online service)

Beschreibungen/Notizen

• 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.