Troubleshooting for Kinked Coronary Catheter: How to Manage? ; A Case Series

Background: Catheter entrapment and knotting are two problems that might arise during coronary angiography, regardless of the method used. It is not uncommon for catheter shaft to become kinked diagnostic or interventional procedures. Still, if manipulation fails, an invasive retrieval usually necessary cases with extensive kinking. Case Illustration: We present illustrating how different angiography approaches could lead severe Because significant tortuosity vasculature, even a gentle opposite rotation maneuver antegrade advancement multiple guidewires failed untwist guide catheter. Once twisted has been identified via fluoroscopy, twist can be eased by gently twisting in direction. always easy. using other techniques such as snare, balloon, surgical In our cases, we used snare snag catheter's tip untied loop's knot. This prevented need unscheduled intervention. evaluated from angiography. There were no further complications. The patients released hospital following day. Conclusion: Although entrapped, various taken deal this difficulty prevent