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Percutaneous retrieval of a twisted guide catheter using a longer second radial sheath
Author(s) -
Leibundgut Gregor,
Löffelhardt Nikolaus,
Neumann FranzJosef
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25231
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , radial artery , percutaneous , coronary angiography , catheter , myocardial infarction , cardiology , backup , interventional cardiology , radiology , surgery , artery , mechanical engineering , engineering
Coronary angiography and percutaneous coronary intervention (PCI) over the radial approach are becoming more frequent and are recommended by the European Association of Percutaneous Cardiovascular Interventions and European Society of Cardiology. The radial approach leads to less bleeding and improved survival in ST‐segment elevation myocardial infarction. Pronounced guide catheter manipulation in cases with tortuous access routes and requirement of extra backup during complex PCI may structurally damage the guide shaft and facilitate twisting and bending. We present three cases where a twisted coronary catheter became stuck in the radial artery and describe a minimally invasive retrieval technique using a second introducer sheath of same French (F) size and greater length. © 2013 Wiley Periodicals, Inc.