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Delayed fatal cardiac perforation by an indwelling long introducer sheath following transjugular intrahepatic portocaval stents (TIPS)

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Abstract

Iatrogenic cardiac perforation is a recognized complication of central venous catheterization. We report a fatal complication by a 10F introducer sheath which was left in place and resulted in perforation of the right atrial wall 8 h later. This case is reported to emphasize the increased risk of cardiac perforation from large caliber rigid sheaths which should be withdrawn immediately after completion of the procedure.

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References

  1. Langston C (1971) The aberrant central venous catheter and its complications. Radiology 100:55–59

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Authors and Affiliations

  1. Department of Radiology, The University of Melbourne, Heidelberg

    Gregory Fitt M.D. & Oliver Hennessy

  2. The Royal Melbourne Hospital, Parkville, Australia

    Kenneth Thomson

  3. Department of Radiology, Austin Hospital, Studley Road, 3084, Heidelberg, Vic., Australia

    Gregory Fitt M.D. & Oliver Hennessy

Authors
  1. Gregory Fitt M.D.
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  2. Kenneth Thomson
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  3. Oliver Hennessy
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Fitt, G., Thomson, K. & Hennessy, O. Delayed fatal cardiac perforation by an indwelling long introducer sheath following transjugular intrahepatic portocaval stents (TIPS). Cardiovasc Intervent Radiol 16, 109–110 (1993). https://doi.org/10.1007/BF02602990

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  • DOI: https://doi.org/10.1007/BF02602990

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