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- Title
Successful Removal of a Fractured Desilets-Hoffman Sheath in a Patient With a Loop Arteriovenous Graft: Balloon-Supported Retrieval Technique.
- Authors
Choi, Yoon Seo; Oh, Chang Hoon
- Abstract
Introduction: While a Desilets–Hoffman sheath rarely fractures, when it does, the presence of an intravenous foreign body can cause various complications. Case Presentation: A 74-year-old woman receiving hemodialysis for end-stage renal disease via a left forearm arteriovenous graft (AVG) was referred to the interventional radiology department following thrombotic occlusion of the AVG. A corrective procedure was initiated, and the 7F Desilets–Hoffman sheath fractured after the purse-string suture. A.035-inch guidewire was passed through the fractured sheath, and a 3.0-mm x 60-mm balloon catheter was inflated, allowing for the successful removal of the sheath fragment without complications. Conclusion: The fractured Desilets-Hoffman sheath was successfully removed in a patient with a loop arteriovenous graft using balloon-supported retrieval technique.
- Subjects
VASCULAR grafts; TRANSLUMINAL angioplasty; FISTULA; MEDICAL device removal; FOREIGN bodies; HEMODIALYSIS; CATHETERIZATION; SURGICAL complications; CHRONIC kidney failure; INTERVENTIONAL radiology; MEDICAL equipment reliability; SURGICAL arteriovenous shunts
- Publication
Vascular & Endovascular Surgery, 2024, Vol 58, Issue 4, p448
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744231217617