Ex-vivo percutaneous bypass: Limb perfusion in the setting of occlusive large bore sheath.

MedStar author(s):
Citation: Catheterization & Cardiovascular Interventions. 93(4):673-677, 2019 03 01.PMID: 30549188Institution: MedStar Washington Hospital CenterDepartment: Medicine/Internal MedicineForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: *Cardiac Catheterization/is [Instrumentation] | *Catheterization, Peripheral/is [Instrumentation] | *Femoral Artery/pp [Physiopathology] | *Ischemia/pc [Prevention & Control] | *Non-ST Elevated Myocardial Infarction/th [Therapy] | *Peripheral Arterial Disease/pp [Physiopathology] | *Shock, Cardiogenic/th [Therapy] | *Vascular Access Devices | Cardiac Catheterization/ae [Adverse Effects] | Catheterization, Peripheral/ae [Adverse Effects] | Equipment Design | Female | Femoral Artery/dg [Diagnostic Imaging] | Humans | Ischemia/pp [Physiopathology] | Middle Aged | Non-ST Elevated Myocardial Infarction/di [Diagnosis] | Non-ST Elevated Myocardial Infarction/pp [Physiopathology] | Peripheral Arterial Disease/dg [Diagnostic Imaging] | Punctures | Regional Blood Flow | Shock, Cardiogenic/di [Diagnosis] | Shock, Cardiogenic/pp [Physiopathology] | Treatment Outcome | Vascular PatencyYear: 2019Local holdings: Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006ISSN:
  • 1522-1946
Name of journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & InterventionsAbstract: Copyright (c) 2018 Wiley Periodicals, Inc.Successful cardiac catheterization procedure begins with safe vascular access and ends with effective hemostasis after equipment removal. These new and advanced technologies in the cath lab require large-bore arterial accesses. Large-bore sheaths are associated with blood flow obstruction resulting in limb ischemia. In this case we present a 48-year-old woman was admitted NSTEMI and cardiogenic shock requiring mechanical circulatory support. Selective left common iliac angiography demonstrated obstructive flow at the level of the left CFA (access site). Therefore, ipsilateral bypass circuit was done. The current case illustrates the utility of a temporary ex-vivo bypass circuit to preserve limb perfusion in the presence of an occlusive large bore sheath. The technique permits sufficient hemodynamic support while maintaining limb perfusion and can be used for any occlusive large bore sheath.All authors: Alraies MC, Kaki A, Shah Z, Soud MOriginally published: Catheterization & Cardiovascular Interventions. 2018 Dec 13Fiscal year: FY2019Digital Object Identifier: Date added to catalog: 2019-01-08
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30549188 Available 30549188

Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006

Copyright (c) 2018 Wiley Periodicals, Inc.

Successful cardiac catheterization procedure begins with safe vascular access and ends with effective hemostasis after equipment removal. These new and advanced technologies in the cath lab require large-bore arterial accesses. Large-bore sheaths are associated with blood flow obstruction resulting in limb ischemia. In this case we present a 48-year-old woman was admitted NSTEMI and cardiogenic shock requiring mechanical circulatory support. Selective left common iliac angiography demonstrated obstructive flow at the level of the left CFA (access site). Therefore, ipsilateral bypass circuit was done. The current case illustrates the utility of a temporary ex-vivo bypass circuit to preserve limb perfusion in the presence of an occlusive large bore sheath. The technique permits sufficient hemodynamic support while maintaining limb perfusion and can be used for any occlusive large bore sheath.

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