scholarly journals Using hydrophilic introducer sheath for peripheral vaECMO cannulation in highly calcified vessels: the bailout solution

2020 ◽  
Vol 23 (4) ◽  
pp. 405-406
Author(s):  
Christopher Gaisendrees ◽  
Laura Suhr ◽  
Borko Ivanov ◽  
Jonas Wörmann ◽  
Ilija Djordjevic ◽  
...  
Keyword(s):  
Introducer Sheath

Removal of Obstructed or Kinked Ureteral Stents Using Coaxial Dilation Stylet and Safety Wire Introducer Sheath

1991 ◽  
Vol 5 (4) ◽  
pp. 297-299
Author(s):  
GLENN S. GERBER ◽  
DAVID M. KRANC ◽  
EDWARD S. LYON
Keyword(s):  
Ureteral Stents ◽  
Introducer Sheath ◽  
Safety Wire

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

Reports ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 34
Author(s):  
Frane Runjić ◽  
Andrija Matetic ◽  
Matjaž Bunc ◽  
Nikola Crnčević ◽  
Ivica Kristić
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Balloon Catheter ◽  
Proximal Part ◽  
Ascending Aorta ◽  
Introducer Sheath ◽  
Transcatheter Aortic Valve ◽  
Coronary Cusp

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) 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.

scholarly journals Non-invasive removal of self-locking entrapped nephrostomy tubes

2020 ◽  
Vol 92 (3) ◽  
Author(s):  
Fabio Campodonico ◽  
Umberto Geremia Rossi ◽  
Marco Ennas ◽  
Alessandro Valdata ◽  
Antonia Di Domenico ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Invasive Technique ◽  
Nephrostomy Tube ◽  
Introducer Sheath ◽  
Non Invasive ◽  
Fluoroscopy Guidance ◽  
Exchange Technique

Introduction: The removal of an encrusted nephrostomy tube can be a challenging maneuver. Urological literature is very bare in detailing techniques for removal of entrapped percutaneous catheters. We present a simple, safe and non-invasive technique of nephrostomy removal using a vascular introducer sheath, useful to manage complicated situations such as nephrostomies blocked for severe encrustations or disabled in their self-locking system. Surgical technique: The nephrostomy tube is cut and the stump is passed with a suture needle. The suture is passed through the inner vascular introducer sheath tip, and the introducer is then removed. The introducer sheath is advanced over the nephrostomy until joining the pigtail segment, under fluoroscopy guidance. Thus the suture is pulled out with strenght to contrast the opposite stiffness of the encrusted coil, until the nephrostomy has safely come out. Comment: The sheath exchange technique is quick, involves less manipulation through the perirenal fascia and kidney, and is suitable for different conditions of entrapped nephrostomies.

Severe Air Embolism Caused by a Pulmonary Artery Introducer Sheath

1994 ◽  
Vol 80 (6) ◽  
pp. 1402-1402 ◽  
Author(s):  
Edmund J. Hartung ◽  
Joerg Ender ◽  
Sophia Sgouropoulou ◽  
Renata Bierl
Keyword(s):  
Pulmonary Artery ◽  
Air Embolism ◽  
Introducer Sheath

Small ventricular access prior to rigid neuroendoscopy

2010 ◽  
Vol 6 (4) ◽  
pp. 325-328 ◽  
Author(s):  
Robert P. Naftel ◽  
R. Shane Tubbs ◽  
Gavin T. Reed ◽  
John C. Wellons
Keyword(s):  
Visual Control ◽  
New Technique ◽  
Introducer Sheath ◽  
A New Technique

The authors describe a new technique that may be used in conjunction with neuronavigation or freehand techniques for obtaining small ventricular access. Using this modification, the introducer sheath and trocar can be guided down a ventriculostomy tract with endoscopic visual control. With increasing focus on endoscopic therapies in patients without hydrocephalus, this adjunct, based on the authors' experience, may provide an additional technique for safely treating patients.

Unipolar Recording and Pacing Using a Conductive Introducer Sheath as the Indifferent Electrode

1996 ◽  
Vol 19 (11) ◽  
pp. 2014-2017
Author(s):  
DANIEL S. GOLDMAN ◽  
JERRICK C. BUCK ◽  
DONALD J. LARNARD
Keyword(s):  
Introducer Sheath ◽  
Indifferent Electrode
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