TY  - BOOK
AU  - Soud, Mohamad
TI  - Ex-vivo percutaneous bypass: Limb perfusion in the setting of occlusive large bore sheath
SN  - 1522-1946
PY  - 2019///
KW  - *Cardiac Catheterization/is [Instrumentation]
KW  - *Catheterization, Peripheral/is [Instrumentation]
KW  - *Femoral Artery/pp [Physiopathology]
KW  - *Ischemia/pc [Prevention & Control]
KW  - *Non-ST Elevated Myocardial Infarction/th [Therapy]
KW  - *Peripheral Arterial Disease/pp [Physiopathology]
KW  - *Shock, Cardiogenic/th [Therapy]
KW  - *Vascular Access Devices
KW  - Cardiac Catheterization/ae [Adverse Effects]
KW  - Catheterization, Peripheral/ae [Adverse Effects]
KW  - Equipment Design
KW  - Female
KW  - Femoral Artery/dg [Diagnostic Imaging]
KW  - Humans
KW  - Ischemia/pp [Physiopathology]
KW  - Middle Aged
KW  - Non-ST Elevated Myocardial Infarction/di [Diagnosis]
KW  - Non-ST Elevated Myocardial Infarction/pp [Physiopathology]
KW  - Peripheral Arterial Disease/dg [Diagnostic Imaging]
KW  - Punctures
KW  - Regional Blood Flow
KW  - Shock, Cardiogenic/di [Diagnosis]
KW  - Shock, Cardiogenic/pp [Physiopathology]
KW  - Treatment Outcome
KW  - Vascular Patency
KW  - MedStar Washington Hospital Center
KW  - Medicine/Internal Medicine
KW  - Case Reports
N1  - Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
N2  - 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
UR  - https://dx.doi.org/10.1002/ccd.28022
ER  -