Fibrin Sheath Disruption Case Study
Explore the ways physicians use the Chameleon™ PTA balloon catheter for paired fibrin sheath diagnosis, angioplasty, and results verification with one device.
Addressing fibrin sheath with the Chameleon™ PTA balloon catheter
Removing fibrin sheath is important to prevent the recurrence of catheter flow dysfunction in a new catheter. The Chameleon™ PTA balloon catheter visualizes the fibrin sheath during and after the angioplasty procedure by injecting contrast media through the catheter without using a sheath.
Fibrin sheath guidance
Case review of fibrin sheath from diagnosis-to-confirmed elmination
Ari Kramer, M.D., reviews case steps in simultaneous imaging and angioplasty for fibrin sheath disruption using the Chameleon™ PTA balloon catheter with integrated injection port.
Fibrin sheath case review with Jeffrey Hoggard, M.D.
- AV graft with venous anastomotic stenosis
- Sheathless, maintaining wire access
- Use of 8×40 mm Chameleon™ PTA balloon catheter
- Immediate verification of procedure status
Fibrin sheath disruption procedural approach
1. Identification and diagnosis of fibrin sheath
- Guidewire is inserted through a catheter lumen
- The tunnel cuff is freed
- The tip of the catheter is pulled back into the proximal brachiocephalic vein over the wire under fluoroscopic guidance
- Contrast is injected through the other (open) lumen
2. Angioplasty performed using the Chameleon™ PTA balloon catheter
- Old catheter is removed over the wire
- Chameleon™ PTA balloon catheter is inserted over the same wire and positioned inside the fibrin sheath
- Serial tangential angioplasty disrupts the length of the fibrin sheath
3. Immediate post-angioplasty imaging using the integrated third port to confirm proper disruption
- The Chameleon™ PTA balloon catheter diagnostic port is positioned in the proximal brachiocephalic vein
- Contrast is injected via the integrated diagnostic port, providing post-angioplasty imaging
- Proper fibrin sheath disruption/removal is confirmed via contrast imaging
Explore more PTA procedures
Explore how utilizing the Chameleon™ PTA balloon catheter supports a unique range of specialized cases.
Review a PTA balloon catheter comparison study from the Journal of Vascular Access.
Learn about a novel thrombectomy technique using the Chameleon™ PTA balloon catheter to perform imaging, thrombectomy, and angioplasty.
Learn more about the unique features of the Chameleon™ PTA balloon catheter.
Reimbursement
Explore tools and guidelines to help your staff optimize the process of procedural CPT and HCPCS code selection.
