title: Guiding catheter tip avulsion--an unusual complication of renal artery stenting.
abstract: A 68-year-old hypertensive male underwent stenting for critical stenosis of the right renal artery through right femoral approach. The stent missed the ostium and repeated attempts at stenting the ostium did not succeed. Brachial approach was resorted to and ostium could be stented successfully. While deploying the stent the balloon was slightly inside the guiding catheter and the catheter tip got partially detached. The whole assembly was withdrawn to the brachial artery and the detached fragment was snared and removed.
authors: Institute of Cardiovascular Diseases, Madras Medical Mission, 4A, JJ Nagar, Mogappair, Chennai 600 037, India. drvijay1977@yahoo.com
authors: Vijayakumar
authors: V
authors: Subban
authors: Thomas
authors: T
authors: George
authors: Mullasari Ajit
authors: MA
authors: Sankardas
authors: Ezhilan
authors: E
authors: Janakiraman
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation; D057785:Catheters; D004868:Equipment Failure; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D012078:Renal Artery Obstruction / Q000628:therapy*; D012086:Reoperation; D015607:Stents