Transradial Retrieval of Broken Catheter After Complex PCI- A Nightmare

Authors

  • CM Shaheen Kabir Associate Professor in Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka-1000
  • Saidur Rahman Khan Professor of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka-1000
  • Mashhud Zia Chowdhury Professor Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka-1000
  • MG Azam Professor of Cardiology, National Institute of Cardiovascular Diseases, Dhaka-1207
  • Hemanta I Gomes Assistant Professor in Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka-1000
  • Arifur Rahman Assistant Professor in Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka-1000
  • Mah Noor Jahan Clinical Sonologist, Department of Radiology & Imaging, Holy Family Red Crescent Medical College Hospital, Dhaka-1000

DOI:

https://doi.org/10.3329/icmj.v8i1-2.53977

Keywords:

complication, catheterization, retrieval, transradial access

Abstract

Transradial access has now a days become a standard of care for percutaneous coronary angiography & intervention. This approach has demonstrated significant reduction in bleeding rate, length of hospital stay and improvement in clinical outcomes when compared to the traditional TF approach. However this novel approach may lead to severe catheter kinking & twisting and further manipulation may require unraveling the catheter and avoiding complication. The fracture of a guide catheter is an uncommon complication during percutaneous coronary intervention (PCI). It sometimes occurs during engagement of the right coronary ostium, when there is excessive twisting of the guide catheter. An interesting case of complete fracture of a 6 Fr Ikari guide catheter in the brachial artery during transradial coronary intervention is presented.

Ibrahim Card Med J 2018; 8 (1&2): 66-70

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Published

2019-07-06

How to Cite

Kabir, C. S., Khan, S. R., Chowdhury, M. Z., Azam, M., Gomes, H. I., Rahman, A., & Jahan, M. N. (2019). Transradial Retrieval of Broken Catheter After Complex PCI- A Nightmare. Ibrahim Cardiac Medical Journal, 8(1-2), 66–70. https://doi.org/10.3329/icmj.v8i1-2.53977

Issue

Vol. 8 No. 1-2 (2018)

Section

Case Reports