title: External and internal compressions to retrieve a kinked catheter in the right brachial artery.
abstract: Kinking of the catheter due to excessive rotation is not a rare complication. However, percutaneous retrieval of a kinked catheter can be difficult. The key to bailout is fixation of the catheter tip. Herein, we present a 78-year-old woman who had this complication during transradial angiography. Retrieval using several previously reported techniques was unsuccessful. We finally retrieved the kinked catheter by fixing the tip of the catheter, using external and internal compressions. The former comprises manual compression on the axillary artery, while the latter comprises deployment of a balloon catheter via another puncture site.
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan. keisuke2018@gmail.com.
authors.forename: Keisuke
authors.identifier: http://orcid.org/0000-0003-1770-9238
authors.initials: K
authors.lastname: Nakabayashi
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Naomi
authors.initials: N
authors.lastname: Kawakatsu
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Naomi
authors.initials: N
authors.lastname: Nakazawa
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Suzuki
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Hisayuki
authors.initials: H
authors.lastname: Okada
authors.affiliation: Department of Cardiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, Hamamatsu City, Shizuoka, 430-8558, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Oka
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000209:etiology*; D001916:Brachial Artery; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D017534:Radial Artery; D012399:Rotation
keywords: Axillary artery; External compression; Internal compression; Kinked catheter; Transradial approach