We present a case of a patient who needed rapid switch from intra-aortic balloon pumping (IABP) to percutaneous cardiopulmonary support (PCPS)/venoarterial extracorporeal membrane oxygenation. It is difficult to switch from IABP to PCPS, because 0.035-inch guidewires cannot pass the IABP guidewire lumen (0.025-inch compatible), and the IABP sheath needs to be removed together with the IABP cath...

ing cholangioscopy using the reusable 0.77-mm SpyGlass fiberoptic probe (Boston Scientific, Massachusetts, USA) with two double-lumen endoscopic retrograde cholangiopancreatography (ERCP) cannulae. The TandemXL cannula (Boston Scientific) is a 7-Fr double-lumen catheter with a 5.5-Fr tip (●" Fig. 1a), and the Swing-tip cannula (Olympus, Tokyo, Japan) is a 9-Fr single-lumen catheter with a 4.5-F...

Introduction Percutaneous indwelling central venous catheters are commonly used for a variety of medical and surgical indications. There are various complications associated with the insertion of central venous lines despite the advances made in the design, material of the catheter and the technique of insertion. Vascular erosion from the catheter is a rare complication that is identified late ...

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We report the case of a 55 years old caucasian male patient with cardiogenic shock due to an extended myocardial infarction who underwent SynCardia Total Artificial Heart implantation and veno-venous extracorporeal membrane oxygenation with a bicaval dual-lumen cannula for the treatment of adult respiratory distress syndrome.

Fibreoptic jugular bulb oximetry has been validated for use in the care of severely head-injured patients. We compared bench and fibreoptic methods of measuring jugular bulb oxyhaemoglobin saturation (SjO2) in 33 patients undergoing cardiac surgery both during cardiopulmonary bypass (CPB) and in the early postoperative period. After insertion of a fibreoptic reflectance oximetry catheter into t...

Access to the central circulation can be difficult in small infants, particularly when normal anatomic landmarks have been altered. We describe a new technique that utilizes any existing central catheter to establish additional sites of vascular access. A 4 Fr end hole catheter is advanced under fluoroscopic guidance to the desired site of new vascular access. A 10-mm Amplatz snare catheter is ...

For patients with hepatocellular carcinoma, intra-arterial chemotherapy can be applied as an alternative treatment if there is concern about the occurrence of hepatic failure during transcatheter arterial chemoembolization (TACE) due to main portal vein thrombosis or patient does not respond TACE. Various complications port system for have been reported so far, but no case has in which a coil c...

BACKGROUND The CrossBoss coronary chronic total occlusion (CTO) crossing catheter has been demonstrated to have greatly improved the success rate of crossing CTO lesions, but there are no published data on its application for in-stent CTO lesions. METHODS In the current study, we retrospectively reviewed the clinical data of 8 patients with in-stent CTO lesions that were managed with the Cros...

BACKGROUND The configuration of the anterior communicating artery (AcomA) complex is important in the endovascular treatment of AcomA complex aneurysms. In cases of codominant anterior cerebral arteries (ACA), coil embolization may result in inadvertent occlusion of the contralateral ACA due to poor visualization. A second diagnostic catheter in the contralateral carotid artery may help with vi...