Transfemoral contralateral technique to retrieve knotted coronary artery catheter using Amplatz Goose Neck snare catheter

BMJ Case Rep. 2010 Nov 19:2010:bcr1220092598. doi: 10.1136/bcr.12.2009.2598.

Abstract

Performing coronary angiography in very older patients can prove a challenge due to vessels calcification and torturousity. Manipulation of coronary catheters to engage the artery ostium may result in over twisting and can result in complications ranging from a minor 'kink' to a complex 'knot'. The authors describe a novel method to retrieve the complex twisted coronary catheter using snare technique, after usual steps to remove the coronary catheter failed.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Cardiac Catheters / adverse effects
  • Coronary Angiography / adverse effects*
  • Coronary Angiography / instrumentation
  • Coronary Angiography / methods
  • Device Removal / methods*
  • Equipment Failure
  • Femoral Artery
  • Humans