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Difficult central venous access removal: case reports of the use of endovascular snare shearing of endothelialized
Erin A Teeple1, William E Shiels, Benedict C Nwomeh
1Division of Pediatric Surgery, Department of Surgery, The Ohio State University College of Medicine, OH 43205, USA.
Journal of Pediatric Surgery
|May 28, 2011
Abstract:
Although a fibrin sheath occurs in most long-standing central venous catheters, they do not typically interfere with complete removal of the catheter. We present 2 cases of long-standing catheters that could not be removed with simple surgical techniques because of endotheliazation via fibrous attachments to the venous wall. Both catheters were successfully removed using a modified snare technique through the right femoral vein.
