Open AccessTransradial Retrieval of Broken Catheter After Complex PCI- A Nightmare
Author(s) -
Christopher Kabir,
Saidur Rahman Khan,
Mashhud Zia Chowdhury,
MG Azam,
Hemanta I Gomes,
Arifur Rahman,
Mah Noor Jahan
Publication year - 2019
Publication title -
ibrahim cardiac medical journal
Language(s) - English
Resource type - Journals
eISSN - 2223-0971
pISSN - 2223-0963
DOI - 10.3329/icmj.v8i1-2.53977
Subject(s) - medicine , conventional pci , nightmare , catheter , percutaneous coronary intervention , ostium , coronary angiography , surgery , complication , percutaneous , radial artery , cardiology , radiology , artery , myocardial infarction , psychiatry
Transradial access has now a days become a standard of care for percutaneous coronary angiography & intervention. This approach has demonstrated significant reduction in bleeding rate, length of hospital stay and improvement in clinical outcomes when compared to the traditional TF approach. However this novel approach may lead to severe catheter kinking & twisting and further manipulation may require unraveling the catheter and avoiding complication. The fracture of a guide catheter is an uncommon complication during percutaneous coronary intervention (PCI). It sometimes occurs during engagement of the right coronary ostium, when there is excessive twisting of the guide catheter. An interesting case of complete fracture of a 6 Fr Ikari guide catheter in the brachial artery during transradial coronary intervention is presented.
Ibrahim Card Med J 2018; 8 (1&2): 66-70