Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad...
Transcript of Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad...
![Page 1: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/1.jpg)
Sharp Recanalization of Central Venous Occlusion Utilizing Re-entry Catheter
Ali Alsaadi
Qazi Shahbaz, Mohammad AlmoaiqelKing Abdul-Aziz medical city, National Guard Hospital. Riyadh,
Saudi Arabia
![Page 2: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/2.jpg)
Disclosure
I do not have any potential conflict of interest
![Page 3: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/3.jpg)
History
• 70-year-old male patient with ESRD on hemodialysis.
• Facial and right upper limb swelling.
Admitted for central venous obstruction treatment.
![Page 4: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/4.jpg)
![Page 5: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/5.jpg)
![Page 6: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/6.jpg)
![Page 7: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/7.jpg)
![Page 8: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/8.jpg)
![Page 9: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/9.jpg)
![Page 10: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/10.jpg)
![Page 11: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/11.jpg)
![Page 12: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/12.jpg)
![Page 13: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/13.jpg)
Something to control the “direction” of the needle ??
![Page 14: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/14.jpg)
Re-Entry Devices
OffRoad™ Outback Elite™ Pioneer™ Enteer™
Re–entry devices When wires and devices fail, Antonis Pratsos ,Lankenau Heart Institute Bryn Mawr, PA.
![Page 15: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/15.jpg)
Outback Elite™
![Page 16: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/16.jpg)
Outback Elite™
![Page 17: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/17.jpg)
![Page 18: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/18.jpg)
![Page 19: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/19.jpg)
![Page 20: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/20.jpg)
![Page 21: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/21.jpg)
![Page 22: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/22.jpg)
![Page 23: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/23.jpg)
![Page 24: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/24.jpg)
![Page 25: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/25.jpg)
![Page 26: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/26.jpg)
Post procedure
Patient symptoms improved.
He was put on continues follow-up surveillance.
![Page 27: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/27.jpg)
Conclusion
Re-entry catheters are useful tools in shortdistant sharp recanalization of central venousocclusion providing good control to direct theneedle toward the target vein.
![Page 28: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/28.jpg)
![Page 29: Sharp Recanalization of Central Venous Occlusion Utilizing Re … · Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia.](https://reader034.fdocuments.us/reader034/viewer/2022042411/5f29d78095e7a315cd256802/html5/thumbnails/29.jpg)
Sharp Recanalization of Central Venous Occlusion Utilizing Re-entry Catheter
Ali Alsaadi
Qazi Shahbaz, Mohammad AlmoaiqelKing Abdul-Aziz medical city, National Guard Hospital. Riyadh,
Saudi Arabia