BACKGROUND Immediate tunnelled, cuffed catheter (TCC) removal is the current standard of care when bacteraemia is associated with severe clinical symptoms. When minimal or no symptoms are present, the optimal strategy of TCC management is controversial. The following three strategies have been proposed: TCC 'salvage' (antibiotic administration without TCC removal), TCC exchange over a guidewire...

Although numerous complications of the Seldinger technique have been reported in the literature, only a few complications are related to guidewires. We here report a case of a patient with a guidewire lost and retained in the aorta during vertebral artery stenting. Unfortunately, the guidewire in the aorta was not detected for 5 years, and it penetrated through the aorta into the left thorax, l...

We report a case of restenosis following ostial stenting of the right coronary artery with protrusion of the stent into the aorta. Treatment was only possible after a guidewire advanced through a lower strut was used to lever the guide, and a second guidewire was advanced through the true lumen.

BACKGROUND To assess whether a new floppy pigtail guidewire provides sufficient support for introduction of the 22F-steerable guide catheter (SG) into the left atrium and is less time-consuming during the MitraClip(®) -procedure without necessity of probing and inserting a stiff wire into the pulmonary vein. METHODS In group 1, traditional probing of the left upper pulmonary vein and insertio...

CT computed tomography DGW double guidewire EPBD endoscopic papillary balloon dilation ESGE European Society of Gastrointestinal Endoscopy ERCP endoscopic retrograde cholangiopancreatography NSAID nonsteroidal anti-inflammatory drug PEP post-ERCP pancreatitis PGW pancreatic guidewire RCT randomized controlled trial SOD sphincter of Oddi dysfunction SOM sphincter of Oddi manometry ULN upper limi...

An endoscopic transpapillary mapping biopsy is useful for evaluating intraepithelial tumor spread in bile duct cancers [1,2]; however, it is occasionally technically difficult to advance the biopsy forceps through a biliary stricture. Here, we describe the case of a patient with a hilar biliary stricture who underwent a selective mapping biopsy. The biopsy technique described is suitable where ...

Study Design Methodological study. Purpose To our knowledge, this is the first study to introduce a new modified method for inserting iliosacral screws and to compare its results with those of a conventional method. Overview of Literature Previous techniques, such as open reduction and internal fixation, are associated with perioperative hemorrhage, postoperative infection, and neurological...

A13-year-old boy, inwhoma10-Fr, 10-cm pancreatic stent hadbeenplaced3months earlier tomanage chronic pancreatitis and pain syndrome, was admitted for stent exchange. On endoscopic retrograde cholangiopancreatography, the pancreatic stent was not visible at the papilla. The pancreatic duct was cannulated with a 0.025-inch guidewire (VisiGlide; Olympus America, Center Valley, Pennsylvania, USA). ...