title: Difficult central venous access removal: case reports of the use of endovascular snare shearing of endothelialized tetherings.
abstract: Although a fibrin sheath occurs in most long-standing central venous catheters, they do not typically interfere with complete removal of the catheter. We present 2 cases of long-standing catheters that could not be removed with simple surgical techniques because of endotheliazation via fibrous attachments to the venous wall. Both catheters were successfully removed using a modified snare technique through the right femoral vein.
authors: Division of Pediatric Surgery, Department of Surgery, The Ohio State University College of Medicine, OH 43205, USA.
authors: Erin A
authors: EA
authors: Teeple
authors: William E
authors: WE
authors: Shiels
authors: Benedict C
authors: BC
authors: Nwomeh
authors: Dorothy V
authors: DV
authors: Rocourt
authors: Donna A
authors: DA
authors: Caniano