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http://dx.doi.org/10.1177/15266028231182025 | DOI Listing |
Methodist Debakey Cardiovasc J
June 2025
Houston Methodist Hospital, Houston, Texas, US.
This case describes the use of the Surfacer® Inside-Out Access Catheter System (SIO) from Merit Medical in an occluded inferior vena cava. The procedure typically utilizes right femoral vein access with contraindications of acute iliocaval thrombosis due to possible embolization. After history and imaging studies, the occlusion was determined to be chronic in this case, and a decision was made to employ the SIO procedure using an indwelling catheter.
View Article and Find Full Text PDFTex Heart Inst J
April 2024
Division of Vascular Surgery, Houston Methodist Hospital, Houston, Texas.
J Vasc Surg Cases Innov Tech
December 2023
Division of Vascular Surgery, DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TX.
We report the case of a near fatal arterial injury in a patient undergoing an inside-out catheter placement through an occluded central venous system using the Surfacer device (Bluegrass Vascular). The right internal mammary artery was inadvertently lacerated during the procedure, leading to cardiovascular collapse. The patient was rescued by transfusion, placement of a chest tube, and coil embolization of the right internal mammary artery.
View Article and Find Full Text PDFSemin Dial
November 2023
Department of Nephrology, Haemodialysis Unit, Bellvitge University Hospital, Barcelona, Spain.
Vascular access (VA) for hemodialysis (HD) continues to be the keystone of the technique's success. The first option should be an arteriovenous fistula (AVF) or arteriovenous graft (AVG), although in some scenarios the only possibility available is a central venous catheter, which could lead to an increase in vascular complications such as thoracic central vein occlusion (TCVO), becoming a challenge for physicians. If conventional therapies cannot be performed, a new device called the Surfacer® Inside-Out® Access Catheter System (IOA) (Bluegrass Vascular Technologies, San Antonio, TX, USA) arises as a promising alternative.
View Article and Find Full Text PDFJ Endovasc Ther
June 2025
Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário do Porto, Porto, Portugal.