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Editorial
. 2020 Dec;15(4):529-531.
doi: 10.26574/maedica.2020.15.4.529.

Transfemoral Technique to Untwist a Knotted Catheter in the Brachial Artery: A Case Report

Nathalie Noirclerc  1 , Paul Alexandru Simion  1 , Abdelkader Bakhti  1
Affiliations
Editorial

Transfemoral Technique to Untwist a Knotted Catheter in the Brachial Artery: A Case Report

Nathalie Noirclerc et al. Maedica (Bucur). 2020 Dec.

Abstract

Cardiac catheterization using the transradial access has been proven to be safe, but can be complicated in some cases by catheter kinking or knotting. This complication is often the result of excessive manipulations due to the S-shaped configuration of the right subclavian-innominate-aorta axis. When a knot occurs in the brachial artery, regular maneuvers to unknot the catheter can be unsuccessful due to the narrow diameter of the artery or to the failure of the external fixation of the distal part of the catheter. We present a case of a knotted catheter in the brachial artery, untwisted with a snare technique. This endovascular technique is simple and avoids surgical extraction.

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Figures

FIGURE 1.
FIGURE 1.
Knotted Judkins right coronary catheter
FIGURE 2.
FIGURE 2.
Catheter fixating by the snare the in the descending aorta
FIGURE 3.
FIGURE 3.
Knot unraveled
See this image and copyright information in PMC

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