case_images: PMC3432227_01
case_images: Fibrin sheath stripping using a Gunther Tulip IVC filter snare. The snare was tightened and pulled down along the shaft. Counter-traction was applied on the other end of the catheter to prevent dislodgement.
case_images: biij-08-e8-g01.jpg
case_images: PMC3432227_01_biij-08-e8-g01.jpg
case_images: F1
case_images: Transcatheter venography via both lumens using non-ionic contrast media (Ultravist, Schering, Berlin, Germany) showed retrograde reflux of contrast along the catheter shaft, which is characteristic of fibrin sheath formation (Figure 1).
case_images: a) Contrast reflux along side the catheter shaft characteristic of fibrin sheath; b) After stripping, contrast reflux (fibrin sheath) is no longer demonstrated.
case_images: biij-08-e8-g02.jpg
case_images: PMC3432227_01_biij-08-e8-g02.jpg
case_images: F2
case_images: Repeat venography showed rapid jet-flow from the catheter tip with resolution of the fibrin sheath (Figure 2).