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An Unusual Femoral Sheath Severing with Successful Recapture: A Case Report (CROSBI ID 321105)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Runjić, Frane ; Matetić, Andrija ; Bunc, Matjaž ; Crnčević, Nikola ; Kristić, Ivica An Unusual Femoral Sheath Severing with Successful Recapture: A Case Report Reports, 4 (2021), 4; 34, 6. doi: 10.3390/reports4040034

Podaci o odgovornosti

Runjić, Frane ; Matetić, Andrija ; Bunc, Matjaž ; Crnčević, Nikola ; Kristić, Ivica

engleski

An Unusual Femoral Sheath Severing with Successful Recapture: A Case Report

This study presents a case of a successful severed femoral sheath recapture during transfemoral transcatheter aortic valve replacement (TAVR). During skin tunneling with a scalpel, the discontinuity of the femoral sheath occurred. Grasping of the distal sheath with the surgical hemostat was attempted unsuccessfully. A proximal part of the severed sheath was removed and Medtronic Sentrant introducer sheath (14 French) was then placed over the existing Confida wire which permanently remained in position, followed by the introduction of the Amplatz Left 2 (AL2) catheter which pushed the severed sheath in the ascending aorta over the Confida wire. The crucial maneuver was the entanglement of the severed sheath in the aortic non-coronary cusp which allowed for its entrapment by the AL2 catheter. This allowed for the coronary guidewire BMW Universal (0.014") placement and a slow balloon retrieval (SeQuent NEO 2.5 x 25 mm(2)) of the severed sheath into the introducer sheath. The guidewire/balloon catheter was then exchanged for the support wire (0.035") followed by the removal of the introducer sheath, AL2 catheter and the severed sheath. In conclusion, sheath severing is a complex accidental event during TAVR, which can be solved by intra-aortic recapture and retraction.

accidental events ; vascular access ; sheath severing

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Podaci o izdanju

4 (4)

2021.

34

6

objavljeno

2571-841X

10.3390/reports4040034

Povezanost rada

Kliničke medicinske znanosti

Poveznice