Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation

Inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation has been described as a technique to prevent potentially lethal pulmonary embolism in this critically ill population. With long-standing extracorporeal membranous oxygenation cannulae, venous fibrin sheath...

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Main Authors: William M. Sherk, MD, Minhaj S. Khaja, MD, MBA, Alexandria Jo, MD, Xhorlina Marko, MD, David M. Williams, MD
Format: Article
Language:English
Published: Elsevier 2020-03-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428719301418
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author William M. Sherk, MD
Minhaj S. Khaja, MD, MBA
Alexandria Jo, MD
Xhorlina Marko, MD
David M. Williams, MD
author_facet William M. Sherk, MD
Minhaj S. Khaja, MD, MBA
Alexandria Jo, MD
Xhorlina Marko, MD
David M. Williams, MD
author_sort William M. Sherk, MD
collection DOAJ
description Inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation has been described as a technique to prevent potentially lethal pulmonary embolism in this critically ill population. With long-standing extracorporeal membranous oxygenation cannulae, venous fibrin sheaths may develop, which may predispose to filter maldeployment or inadequate embolus filtration. This report describes the use of a balloon catheter to disrupt a fibrin sheath at patient bedside using intravascular ultrasound guidance to facilitate inferior vena cava filter placement. Keywords: ECMO, IVC filter, Fibrin sheath, IVUS
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spelling doaj.art-a8ce65d63da34835978d093bb9aca08e2022-12-22T00:48:22ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-03-01615658Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulationWilliam M. Sherk, MD0Minhaj S. Khaja, MD, MBA1Alexandria Jo, MD2Xhorlina Marko, MD3David M. Williams, MD4Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, MichCorrespondence: Minhaj S. Khaja, MD, MBA, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Dr, Ann Arbor, MI 48109; Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, MichDivision of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, MichDivision of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, MichDivision of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, MichInferior vena cava filter placement during extracorporeal membranous oxygenation decannulation has been described as a technique to prevent potentially lethal pulmonary embolism in this critically ill population. With long-standing extracorporeal membranous oxygenation cannulae, venous fibrin sheaths may develop, which may predispose to filter maldeployment or inadequate embolus filtration. This report describes the use of a balloon catheter to disrupt a fibrin sheath at patient bedside using intravascular ultrasound guidance to facilitate inferior vena cava filter placement. Keywords: ECMO, IVC filter, Fibrin sheath, IVUShttp://www.sciencedirect.com/science/article/pii/S2468428719301418
spellingShingle William M. Sherk, MD
Minhaj S. Khaja, MD, MBA
Alexandria Jo, MD
Xhorlina Marko, MD
David M. Williams, MD
Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation
Journal of Vascular Surgery Cases and Innovative Techniques
title Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation
title_full Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation
title_fullStr Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation
title_full_unstemmed Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation
title_short Bedside intravascular ultrasound-guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation
title_sort bedside intravascular ultrasound guided fibrin sheath balloon maceration and inferior vena cava filter placement during extracorporeal membranous oxygenation decannulation
url http://www.sciencedirect.com/science/article/pii/S2468428719301418
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