{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:10:55Z","timestamp":1777936255477,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Central venous catheters are a frequently used vascular access for hemodialysis. Fibrin sheath formation is a common complication and is associated with catheter malfunction. Although fibrin sheath angioplasty with catheter exchange is a frequently employed procedure, it can be associated with mechanical complications. An important technical step in this procedure is progression of the guide-wire into the inferior vena cava. Focal alveolar hemorrhage is a very rare complication of this procedure. We report a case of a 70-year old patient on dual antiplatelet therapy who underwent fibrin sheath angioplasty with guide-wire catheter exchange and experienced focal alveolar hemorrhage presenting as hemoptysis and acute type 1 respiratory failure. Progression of the guide-wire into the pulmonary circulation and antithrombotic therapy played a significant role in the development of this complication. This report aims to call attention to a poorly described and potentially serious yet avoidable complication of fibrin sheath angioplasty with guide-wire catheter exchange.<\/jats:p>","DOI":"10.1177\/11297298241262344","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T02:07:41Z","timestamp":1722564461000},"page":"1413-1415","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Focal alveolar hemorrhage following guide-wire progression into the pulmonary arterial circulation during fibrin sheath angioplasty and catheter exchange: Case report"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6083-1960","authenticated-orcid":false,"given":"Jo\u00e3o Figueiredo","family":"Martins","sequence":"first","affiliation":[{"name":"Centro Hospitalar Universit\u00e1rio de Lisboa Central, Servi\u00e7o de Nefrologia e Transplanta\u00e7\u00e3o Renal, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Marou\u00e7o","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Universit\u00e1rio de Lisboa Central, Servi\u00e7o de Nefrologia e Transplanta\u00e7\u00e3o Renal, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Caeiro","sequence":"additional","affiliation":[{"name":"Centro Hospitalar Universit\u00e1rio de Lisboa Central, Servi\u00e7o de Nefrologia e Transplanta\u00e7\u00e3o Renal, Lisbon, Portugal"},{"name":"NOVA Medical School, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/03000605221127890"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820951035"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0005202021"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1324735"},{"issue":"4","key":"e_1_3_2_6_2","first-page":"33","article-title":"Percutaneous transluminal angioplasty of fibrin sheath with removal or exchange of tunneled hemodialysis catheters","volume":"5","author":"Saroha B.","year":"2022","unstructured":"Saroha B. Percutaneous transluminal angioplasty of fibrin sheath with removal or exchange of tunneled hemodialysis catheters. J Interv Nephrol 2022; 5(4): 33\u201336.","journal-title":"J Interv Nephrol"},{"issue":"12","key":"e_1_3_2_7_2","first-page":"891","article-title":"Pulmonary artery catheterization in 9071 cardiac surgery patients: a review of complications","volume":"5","author":"Procaccini B","year":"2004","unstructured":"Procaccini B, Clementi G. Pulmonary artery catheterization in 9071 cardiac surgery patients: a review of complications. Ital Heart J Suppl 2004; 5(12): 891\u2013899.","journal-title":"Ital Heart J Suppl"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/145749690909800402"},{"issue":"6","key":"e_1_3_2_9_2","first-page":"1","article-title":"Iatrogenic perforation of a pulmonary artery side branch-a case report","volume":"5","author":"Leick J","year":"2021","unstructured":"Leick J, Leinen S, Friedrich I, et al. Iatrogenic perforation of a pulmonary artery side branch-a case report. Eur Heart J Case Rep 2021; 5(6): 1\u20135.","journal-title":"Eur Heart J Case Rep"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0b013e32801158a9"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241262344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298241262344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298241262344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:24:59Z","timestamp":1777692299000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298241262344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/11297298241262344"],"URL":"https:\/\/doi.org\/10.1177\/11297298241262344","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]}}}