Related Experiment Video
Updated: Dec 31, 2025
05:31
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
6.0K
Knot my problem: Overcoming transradial catheter complications
Melanie Walker1,2, Michael R Levitt2,3, Basavaraj V Ghodke4
1Department of Neurological Surgery University of Washington School of Medicine Seattle Washington.
Clinical Case Reports
|January 2, 2020
Summary
Transradial access complications, such as knots and kinks during catheter manipulation, can occur despite careful planning. This report provides technical solutions for managing these issues during transradial cerebral procedures.
Area of Science:
- Interventional Neurology
- Vascular Surgery
- Medical Imaging
Background:
- Transradial access is a common approach for endovascular cerebral procedures.
- Complications like catheter kinking and knotting can arise during manipulation.
- Despite careful patient selection and planning, these issues persist.
Purpose of the Study:
- To provide technical suggestions for managing knots and kinks during transradial cerebral procedures.
- To offer solutions for common catheter manipulation challenges.
- To improve procedural success rates in transradial interventions.
Main Methods:
- Visual report detailing technical maneuvers.
- Focus on reversing knots and kinks.
- Case examples of catheter manipulation.
Main Results:
- Demonstration of techniques to untangle and straighten catheters.
- Successful resolution of knots and kinks in simulated or actual cases.
- Guidance on preventing further complications.
Conclusions:
- Specific technical strategies can effectively manage knots and kinks during transradial cerebral procedures.
- These techniques can help mitigate procedural risks.
- Visual guidance is valuable for interventionalists facing these challenges.
Related Concept Videos
01:26Cardiac Catheterization IV: Nursing Management
566
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
566
01:28Cardiac Catheterization I: Pre-Procedure Overview
897
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
897
01:21Cardiac Catheterization II: Right Heart Catheterization
638
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
638
01:23Peripheral Artery Disease V: Postoperative Nursing Management
302
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
302
01:24Cardiac Catheterization III: Left Heart Catheterization
500
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
500
01:27Peripheral Artery Disease III: Interprofessional Care
200
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
200