case_images: PMC6250015_01
case_images: Questionable high stick with the sheath tip about to come out of the CFA.
case_images: CRIC2018-2041643.001.jpg
case_images: PMC6250015_01_CRIC2018-2041643.001.jpg
case_images: fig1
case_images: A wire passed through the sheath in order to secure access.
case_images: CRIC2018-2041643.002.jpg
case_images: PMC6250015_01_CRIC2018-2041643.002.jpg
case_images: fig2
case_images: IEA by sticking the U portion of the IEA, but due to the high risk, a wire was passed through the sheath in order to secure access (Figure 2). Immediate access was obtained through the contralateral groin (Figure 3) then a balloon over the wire was passed beyond the original sheath tip (Figure 4), and then the sheath was slowly pulled back while contrast was injected.
case_images: Access obtained from contralateral femoral artery.
case_images: CRIC2018-2041643.003.jpg
case_images: PMC6250015_01_CRIC2018-2041643.003.jpg
case_images: fig3
case_images: IEA by sticking the U portion of the IEA, but due to the high risk, a wire was passed through the sheath in order to secure access (Figure 2). Immediate access was obtained through the contralateral groin (Figure 3) then a balloon over the wire was passed beyond the original sheath tip (Figure 4), and then the sheath was slowly pulled back while contrast was injected.
case_images: A balloon over the wire was passed beyond the original sheath tip.
case_images: CRIC2018-2041643.004.jpg
case_images: PMC6250015_01_CRIC2018-2041643.004.jpg
case_images: fig4
case_images: IEA by sticking the U portion of the IEA, but due to the high risk, a wire was passed through the sheath in order to secure access (Figure 2). Immediate access was obtained through the contralateral groin (Figure 3) then a balloon over the wire was passed beyond the original sheath tip (Figure 4), and then the sheath was slowly pulled back while contrast was injected.
case_images: Angiogram showed that the sheath was inserted through the U-shaped portion of the IEA.
case_images: CRIC2018-2041643.005.jpg
case_images: PMC6250015_01_CRIC2018-2041643.005.jpg
case_images: fig5
case_images: IEA (Figure 5) and that the IEA had no dissection nor laceration. In the end, a closure device (Mynx) was applied to the access site and hemostasis was achieved.