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Severe catheter kinking and entrapment during transbrachial angiography: percutaneous retrieval with a slender

Sho Hashimoto1, Akihiko Takahashi2, Yukio Mizuguchi1

  • 1Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo, 654-0026, Japan.

Cardiovascular Intervention and Therapeutics
|March 13, 2016
PubMed

Insights

A tangled diagnostic catheter in the brachial artery was successfully removed using a snare catheter technique. This minimally invasive approach ensured a safe and effective treatment for the patient, avoiding further complications.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery

Background:

  • A 74-year-old male with a history of bilateral femoro-popliteal bypass presented with a severely tangled 4-French diagnostic catheter in the right brachial artery.
  • Management of complex catheter entrapment requires specialized techniques to minimize patient risk.

Observation:

  • A 5-French JR catheter was advanced to the right brachial artery via a 5-French sheath introducer placed in the proximal right femoral artery.
  • A Sion coronary guidewire was used to access the tip of the entangled catheter.

Findings:

  • A 4-mm gooseneck snare catheter was successfully deployed over the guidewire.
  • The entangled catheter tip was snared and removed intact through clockwise untwisting.

Implications:

  • This case demonstrates a successful endovascular retrieval of a tangled diagnostic catheter.
  • The described technique offers a safe and effective solution for complex iatrogenic arterial injuries.
  • Minimally invasive catheter retrieval can prevent the need for open surgical intervention.

Keywords:
EntrappedKinked catheterSlender approachSnare

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