title: Entrapment of a looped/kinked catheter in the brachial artery and its successful retrieval during transradial coronary catheterization.
abstract: Transradial access for cardiac catheterization is widely accepted as a safe and viable approach with markedly decreased incidence of major accessrelated complications compared to the transfemoral approach. Minor catheter looping or kinking during catheter manipulation is common and can be managed with gentle rotation, and thus goes unnoticed without complications. Rarely, this looped/kinked catheter can get entrapped and require an invasive approach for retrieval. To our knowledge, there is only one such case described for the transradial approach, where the authors had to use a 6 Fr Amplatz gooseneck snare kit via right femoral approach to remove the entrapped catheter. We present a case of entrapped looped/kinked 5 Fr catheter during transradial catheterization in the brachial artery and describe a novel approach of removing this entrapped catheter through the same radial access without any complications.
authors.affiliation: Division of Cardiology, Staten Island University Hospital, Staten Island, NY 10305, USA.
authors.forename: Alain
authors.initials: A
authors.lastname: Waked
authors.forename: Georges
authors.initials: G
authors.lastname: Khoueiry
authors.forename: Tariq
authors.initials: T
authors.lastname: Bhat
mesh_terms: D001916:Brachial Artery / Q000000981:diagnostic imaging*; D006328:Cardiac Catheterization / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000000981:diagnostic imaging*; D016896:Treatment Outcome