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The disadvantages of this technique are the ensuing limb length discrepancy (unless lengthening is contemplated), a risk of kinking vascular structures particularly relevant in patients who have vascular injuries and those who have had soft tissue flaps for coverage and the risk of infection from pin tracks.
Subclavian access has an enhanced risk of kinking and of stenosis with longer catheter stay [ 14- 16].
11 15 The other concern with cannula decompression is the potential the risk of kinking and bending after insertion which may be life threatening in tension pneumothoraces.
This phenomenon is not frequent since the reduced caliber of the tip of Intraclude compared to the proximal part (hub) that maintains a diameter of 10.5 Fr is specifically designed to avoid the risk of kinking or twisting of the catheter and consequently to prevent the hazard of high pressure during cardioplegia delivering.
Therefore, these two catheters had a lower risk of kinking and malposition.
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This approach flipped the graft 180° along the axis of the IVC (facing backward) and was believed to minimize the risk of torsion, kinking and tension of the anastomosed structures by allowing the liver to sit naturally in an anatomical position in the hepatic fossa without portal structures crossing [ 5].
In our case, we selected retrograde revascularization using an autologous vein graft that had a risk of graft kinking because his abdominal cavity had been contaminated.
At the beginning of the experience, we had some concerns regarding the extreme softness of the catheter with some risk of twisting and kinking.
Thus the risk of distortion and kinking of the anastomosed vessels could be completely avoided.
This tube is strengthened by an inner reinforced tube where it emerges from the cup to avoid any risk of obstruction due to kinking during the extraction.
Other drawbacks include late vaginal bleeding, ureteric occlusion or injury as a result of kinking in the distal ureter, a risk of gynecological cancer, vaginal discharge, and an uncomfortable feeling of fullness in the vagina.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com