Ex-vivo percutaneous bypass: Limb perfusion in the setting of occlusive large bore sheath.
Cardiac Catheterization
/ adverse effects
Catheterization, Peripheral
/ adverse effects
Equipment Design
Female
Femoral Artery
/ diagnostic imaging
Humans
Ischemia
/ physiopathology
Middle Aged
Non-ST Elevated Myocardial Infarction
/ diagnosis
Peripheral Arterial Disease
/ diagnostic imaging
Punctures
Regional Blood Flow
Shock, Cardiogenic
/ diagnosis
Treatment Outcome
Vascular Access Devices
Vascular Patency
cardiogenic shock
coronary artery disease
mechanical circulatory support
peripheral vascular disease
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
01 03 2019
01 03 2019
Historique:
received:
19
09
2018
revised:
17
11
2018
accepted:
25
11
2018
pubmed:
15
12
2018
medline:
15
4
2020
entrez:
15
12
2018
Statut:
ppublish
Résumé
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.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
673-677Informations de copyright
© 2018 Wiley Periodicals, Inc.