000			03583nam a22006617a 4500
008			190108s20192019 xxu||||| |||| 00| 0 eng d
022			_a1522-1946
024			_a10.1002/ccd.28022 [doi]
040			_aOvid MEDLINE(R)
099			_a30549188
245			_aEx-vivo percutaneous bypass: Limb perfusion in the setting of occlusive large bore sheath.
251			_aCatheterization & Cardiovascular Interventions. 93(4):673-677, 2019 03 01.
252			_aCatheter Cardiovasc Interv. 93(4):673-677, 2019 03 01.
252			_zCatheter Cardiovasc Interv. 2018 Dec 13
253			_aCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
260			_c2019
260			_fFY2019
265			_saheadofprint
265			_sppublish
266			_d2019-01-08
268			_aCatheterization & Cardiovascular Interventions. 2018 Dec 13
501			_aAvailable online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
520			_aCopyright (c) 2018 Wiley Periodicals, Inc.
520			_aSuccessful 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.
546			_aEnglish
650			_a*Cardiac Catheterization/is [Instrumentation]
650			_a*Catheterization, Peripheral/is [Instrumentation]
650			_a*Femoral Artery/pp [Physiopathology]
650			_a*Ischemia/pc [Prevention & Control]
650			_a*Non-ST Elevated Myocardial Infarction/th [Therapy]
650			_a*Peripheral Arterial Disease/pp [Physiopathology]
650			_a*Shock, Cardiogenic/th [Therapy]
650			_a*Vascular Access Devices
650			_aCardiac Catheterization/ae [Adverse Effects]
650			_aCatheterization, Peripheral/ae [Adverse Effects]
650			_aEquipment Design
650			_aFemale
650			_aFemoral Artery/dg [Diagnostic Imaging]
650			_aHumans
650			_aIschemia/pp [Physiopathology]
650			_aMiddle Aged
650			_aNon-ST Elevated Myocardial Infarction/di [Diagnosis]
650			_aNon-ST Elevated Myocardial Infarction/pp [Physiopathology]
650			_aPeripheral Arterial Disease/dg [Diagnostic Imaging]
650			_aPunctures
650			_aRegional Blood Flow
650			_aShock, Cardiogenic/di [Diagnosis]
650			_aShock, Cardiogenic/pp [Physiopathology]
650			_aTreatment Outcome
650			_aVascular Patency
651			_aMedStar Washington Hospital Center
656			_aMedicine/Internal Medicine
657			_aCase Reports
700			_aSoud, Mohamad
790			_aAlraies MC, Kaki A, Shah Z, Soud M
856			_uhttps://dx.doi.org/10.1002/ccd.28022 _zhttps://dx.doi.org/10.1002/ccd.28022
942			_cART _dArticle
999			_c3976 _d3976