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Ultrasound-Guided Vascular Access Is an Important Tool to Prevent Catastrophes: Transinferior Epigastric Artery Cardiac Catheterization
Joint Authors
Amro, Ahmed
Mansoor, Kanaan
Amro, Mohammad
Sobeih, Amal
Sayyed, Rameez
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We report a case of cardiac catheterization that was done entirely by accidentally accessing the inferior epigastric artery (IEA) through an unintentional puncture of the U-shaped portion of the inferior epigastric artery.
Luckily the patient did not have any trauma to the IEA and was d/c home with no complications.
A 48-year-old female with history of hypertension and CAD S/P left circumflex stent many years ago who presented to our facility with persistent crescendo angina for which decision was made to proceed with LHC.
The cardiac catheterization showed no significant CAD with patent stent so it was decided that there is no further intervention needed.
Femoral angiogram was done and showed that the stick was high and the tip of the sheath was about to come out of the CFA; at the same time, it came into our minds that the sheath could be passing through the IEA by sticking the U portion of the IEA, but due to the high risk, an immediate access was obtained through the contralateral groin then a balloon over the wire was passed beyond the original sheath tip, then the sheath was slowly pulled back while contrast was injected.
Angiogram showed that the sheath was inserted through the U-shaped portion of the IEA.
Conclusion.
Ultrasound guidance should be the first-line standard for arterial access in any cardiac catheterization procedure.
US is a proven tool that can increase success and decrease complications in a wide variety of vascular access procedures.
American Psychological Association (APA)
Amro, Ahmed& Mansoor, Kanaan& Amro, Mohammad& Sobeih, Amal& Sayyed, Rameez. 2018. Ultrasound-Guided Vascular Access Is an Important Tool to Prevent Catastrophes: Transinferior Epigastric Artery Cardiac Catheterization. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1137214
Modern Language Association (MLA)
Amro, Ahmed…[et al.]. Ultrasound-Guided Vascular Access Is an Important Tool to Prevent Catastrophes: Transinferior Epigastric Artery Cardiac Catheterization. Case Reports in Cardiology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1137214
American Medical Association (AMA)
Amro, Ahmed& Mansoor, Kanaan& Amro, Mohammad& Sobeih, Amal& Sayyed, Rameez. Ultrasound-Guided Vascular Access Is an Important Tool to Prevent Catastrophes: Transinferior Epigastric Artery Cardiac Catheterization. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1137214
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137214