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Sharp Recanalization of Central Venous Occlusion Utilizing Re-entry Catheter Ali Alsaadi Qazi Shahbaz, Mohammad Almoaiqel King Abdul-Aziz medical city, National Guard Hospital. Riyadh, Saudi Arabia

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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

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

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

History

• 70-year-old male patient with ESRD on hemodialysis.

• Facial and right upper limb swelling.

Admitted for central venous obstruction treatment.

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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
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
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
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
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
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
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
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
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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

Re-Entry Devices

OffRoad™ Outback Elite™ Pioneer™ Enteer™

Re–entry devices When wires and devices fail, Antonis Pratsos ,Lankenau Heart Institute Bryn Mawr, PA.

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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

Outback Elite™

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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
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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
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
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
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
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Post procedure

Patient symptoms improved.

He was put on continues follow-up surveillance.

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Conclusion

Re-entry catheters are useful tools in shortdistant sharp recanalization of central venousocclusion providing good control to direct theneedle toward the target vein.

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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