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Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare
Radial arterial lines are inserted in critically ill patients admitted to hospital intensive care units for continuous monitoring of their blood pressure. On removal the line can rarely become transected, potentially leading to thrombosis of the radial artery. Retrieval of the broken fragment can be...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686901/ https://www.ncbi.nlm.nih.gov/pubmed/38019316 http://dx.doi.org/10.1186/s42155-023-00407-5 |
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author | Alaeddin, Hasan Elsaadany, Amr Rashid Akhtar, Mohammad |
author_facet | Alaeddin, Hasan Elsaadany, Amr Rashid Akhtar, Mohammad |
author_sort | Alaeddin, Hasan |
collection | PubMed |
description | Radial arterial lines are inserted in critically ill patients admitted to hospital intensive care units for continuous monitoring of their blood pressure. On removal the line can rarely become transected, potentially leading to thrombosis of the radial artery. Retrieval of the broken fragment can be achieved by open surgery, however other retrieval methods using ultrasound-guidance have been performed as they are considered safer and less invasive. We describe our technique of ultrasound-guided percutaneous retrieval of a broken non-radioopaque radial line in one patient, which involved the use of a microsnare. Under local anaesthesia and ultrasound guidance, a 6 Fr 5.5 cm short brite tip sheath was introduced into the radial artery, followed by a microsnare which was used to capture the arterial line, track the line back into the sheath and remove it uneventfully. The use of a microsnare under ultrasound-guidance is only one method to retrieve transected radial lines, with other interventional methods described in the literature. It enables a minimally invasive and safer approach to this potentially critical challenge and can help affected patients avoid open surgery to achieve the same management outcome. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s42155-023-00407-5. |
format | Online Article Text |
id | pubmed-10686901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-106869012023-11-30 Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare Alaeddin, Hasan Elsaadany, Amr Rashid Akhtar, Mohammad CVIR Endovasc New Technologies Radial arterial lines are inserted in critically ill patients admitted to hospital intensive care units for continuous monitoring of their blood pressure. On removal the line can rarely become transected, potentially leading to thrombosis of the radial artery. Retrieval of the broken fragment can be achieved by open surgery, however other retrieval methods using ultrasound-guidance have been performed as they are considered safer and less invasive. We describe our technique of ultrasound-guided percutaneous retrieval of a broken non-radioopaque radial line in one patient, which involved the use of a microsnare. Under local anaesthesia and ultrasound guidance, a 6 Fr 5.5 cm short brite tip sheath was introduced into the radial artery, followed by a microsnare which was used to capture the arterial line, track the line back into the sheath and remove it uneventfully. The use of a microsnare under ultrasound-guidance is only one method to retrieve transected radial lines, with other interventional methods described in the literature. It enables a minimally invasive and safer approach to this potentially critical challenge and can help affected patients avoid open surgery to achieve the same management outcome. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s42155-023-00407-5. Springer International Publishing 2023-11-29 /pmc/articles/PMC10686901/ /pubmed/38019316 http://dx.doi.org/10.1186/s42155-023-00407-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | New Technologies Alaeddin, Hasan Elsaadany, Amr Rashid Akhtar, Mohammad Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare |
title | Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare |
title_full | Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare |
title_fullStr | Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare |
title_full_unstemmed | Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare |
title_short | Ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare |
title_sort | ultrasound-guided percutaneous retrieval of non-radiopaque radial line using a microsnare |
topic | New Technologies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686901/ https://www.ncbi.nlm.nih.gov/pubmed/38019316 http://dx.doi.org/10.1186/s42155-023-00407-5 |
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