Transfemoral contralateral technique to retrieve knotted coronary artery catheter using Amplatz Goose Neck snare catheter.
Performing coronary angiography in very older patients can prove a challenge due to vessels calcification and torturousity. Manipulation of coronary catheters to engage the artery ostium may result in over twisting and can result in complications ranging from a minor 'kink' to a complex 'knot'. The authors describe a novel method to retrieve the complex twisted coronary catheter using snare technique, after usual steps to remove the coronary catheter failed.
Cardiology, University Hospital of Wales, Cardiff, UK.
Ihsan M
IM
Rafie
Girish
G
Viswanathan
William J
WJ
Penny
D000369:Aged, 80 and over; D062906:Cardiac Catheters / Q000009:adverse effects; D017023:Coronary Angiography / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D020878:Device Removal / Q000379:methods*; D004868:Equipment Failure; D005263:Femoral Artery; D006801:Humans