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Successful Removal of a Fractured Desilets-Hoffman Sheath in a Patient With a Loop Arteriovenous Graft: Balloon-Supported Retrieval Technique

Title
Successful Removal of a Fractured Desilets-Hoffman Sheath in a Patient With a Loop Arteriovenous Graft: Balloon-Supported Retrieval Technique
Authors
ChoiYoon SeoOhChang Hoon
Ewha Authors
오창훈
SCOPUS Author ID
오창훈scopus
Issue Date
2024
Journal Title
Vascular and Endovascular Surgery
ISSN
1538-5744JCR Link
Citation
Vascular and Endovascular Surgery vol. 58, no. 4, pp. 448 - 451
Keywords
arteriovenous fistulacatheter fracturefistulahemodialysispercutaneous retrieval
Publisher
SAGE Publications Inc.
Indexed
SCIE; SCOPUS scopus
Document Type
Article
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. © The Author(s) 2023.
DOI
10.1177/15385744231217617
Appears in Collections:
의료원 > 의료원 > Journal papers
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