The Sandwich Technique with Body Flossing Wire to Revascularize Left Subclavian Artery in Thoracic Endovascular Aortic Repair

Hsu, Hueih-Shing; Huang, Chen-Ming; Chen, Yinyin; Hsieh, Fu-Chien; Chen, Jer-Shen

doi:10.1016/j.avsg.2016.04.016

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…This "body-flossing" wire technique has been demonstrated to be effective in both maintaining vessel patency during vascular procedures and to maneuver endovascular graft positioning during initial placement. 17,18 In this technique, the glidewire is manipulated and moves the snare up toward the port tip for mechanical stripping of the fibrin sheath. This provides a more certain, safe, and technically straightforward approach compared to the traditional method of direct mechanical stripping with a loop snare.…”

Section: Discussionmentioning

confidence: 99%

Pipe-Cleaning Plugged Portacaths: How to Unclog an Implanted Port After Development of a Fibrin Sheath

Hagaman

Matteo

Kee-Sampson

et al. 2020

Vasc Endovascular Surg

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Industry has long fought the battle to design a vascular catheter that is less thrombogenic. Indwelling catheters provide long-term central venous access, but they develop fibrin sheaths as the vascular system recognizes them as foreign bodies. Peripheral catheters and central catheters can be changed over a guidewire when they form a fibrin sheath or otherwise malfunction. However, totally implantable venous access devices such as a port cannot be easily exchanged over a wire. Therefore, when a port malfunctions, thrombolytics are usually the only option attempted before the port is explanted and a new site is prepared for access. We present a minimally invasive technique demonstrating port salvage that does not require explant.

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Section: Discussionmentioning

confidence: 99%

Pipe-Cleaning Plugged Portacaths: How to Unclog an Implanted Port After Development of a Fibrin Sheath

Hagaman

Matteo

Kee-Sampson

et al. 2020

Vasc Endovascular Surg

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“…This technique results in enhanced rail strength and has been described in limited case reports, 18 during coronary sinus lead implantation, 19 and in percutaneous arterial interventions. 20 This article describes use of the body flossing technique in a series of patients as an alternative strategy during CIED lead implantation scenarios in which sheath placement was limited by severe venous stenosis or tortuosity.…”

Section: Introductionmentioning

confidence: 99%

Wire countertraction for sheath placement through stenotic and tortuous veins: The “body flossing” technique

et al. 2020

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BACKGROUND Innominate vein stenosis and venous tortuosity are common findings during cardiac implantable electronic device upgrades or replacements and present a challenge to the implanting physician. Various techniques have been described to facilitate lead placement, including serial dilation, balloon venoplasty, and percutaneous access medial to the stenosis, each with its own benefits and risks.OBJECTIVE The purpose of this study was to assess the feasibility, safety, and efficacy of the wire countertraction ("body flossing") technique to facilitate sheath placement through tortuous and stenotic vessels.METHODS Patients undergoing cardiac implantable electronic device procedures requiring the body flossing technique due to inability to place vascular sheaths over the wire through stenoses or tortuosity were retrospectively analyzed. Clinical characteristics, procedural equipment, and outcomes were analyzed.RESULTS Simultaneous countertraction was successful in all attempted cases, including 8 patients with stenoses and 2 with tortuosity. In 2 of the stenosis cases, venoplasty had previously failed. No complications occurred.CONCLUSION Simultaneous countertraction (body flossing) is an effective tool to overcome venous stenosis and tortuosity that are amenable to wire advancement but not to vascular sheaths. It seems to be a safe and effective alternative to other techniques used in these scenarios.

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Perioperative neurologic outcomes of right versus left upper extremity access for fenestrated-branched endovascular aortic aneurysm repair

Scott

Driessen

Gonzalez

et al. 2022

Journal of Vascular Surgery

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The Sandwich Technique with Body Flossing Wire to Revascularize Left Subclavian Artery in Thoracic Endovascular Aortic Repair

Cited by 4 publications

References 18 publications

Pipe-Cleaning Plugged Portacaths: How to Unclog an Implanted Port After Development of a Fibrin Sheath

Pipe-Cleaning Plugged Portacaths: How to Unclog an Implanted Port After Development of a Fibrin Sheath

Wire countertraction for sheath placement through stenotic and tortuous veins: The “body flossing” technique

Perioperative neurologic outcomes of right versus left upper extremity access for fenestrated-branched endovascular aortic aneurysm repair

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