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  • Title: Delayed fatal cardiac perforation by an indwelling long introducer sheath following transjugular intrahepatic portocaval stents (TIPS).
    Author: Fitt G, Thomson K, Hennessy O.
    Journal: Cardiovasc Intervent Radiol; 1993; 16(2):109-10. PubMed ID: 8485740.
    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is reported to emphasize the increased risk of cardiac perforation from large caliber rigid sheaths which should be withdrawn immediately after completion of the procedure.
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