Pigtail assisted tracking of guide catheter for navigating the difficult radial: Overcoming the "razor effect".
During transradial procedures, sharp edge of the guide catheter tip may act like a "razor-blade" and can prevent the catheter navigation. It is especially common with radial artery loop, tortuous radial artery and radial artery spasm. We describe a cost effective and easy technique which overcomes this "razor-blade" effect and helps in tracking the guide catheter in complex radial anatomy for the easy and successful completion of procedure.
Professor, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. Electronic address: navgarg@gmail.com.
Naveen
N
Garg
Senior Resident, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Dhabaleswar
D
Sahoo
Professor, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Praveen Kumar
PK
Goel
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D017534:Radial Artery; D013035:Spasm / Q000517:prevention & control*
Radial artery loop; Radial artery spasm; Tortuous radial artery; Transradial angioplasty