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Preventing Kinks and Entrapments in Coronary Interventions With Innovative Approaches

Fawaz Al Mutairi1, Saleh Al Ghadeer1, Abdulmohsen Al Yousef1

  • 1King Abdulaziz Cardiac Center, National Guard Hospital, Riyadh, Saudi Arabia.

JACC. Case Reports
|August 22, 2025
PubMed

Insights

A new balloon-assisted technique safely removes kinked catheters during transradial coronary angiography. This method provides intraluminal support, preventing vessel damage and ensuring efficient catheter retrieval.

Area of Science:

  • Interventional Cardiology
  • Vascular Access Techniques
  • Medical Device Innovation

Background:

  • Transradial access is common for coronary angiography.
  • Catheter kinking during transradial procedures can complicate retrieval.
  • Standard retrieval methods may fail, necessitating alternative approaches.

Observation:

  • A novel balloon-assisted intraluminal technique was developed for kinked catheter removal.
  • A 0.014-inch guide wire was advanced through the kink, and a low-profile balloon was inflated within the kinked segment.
  • This provided intraluminal support for controlled traction and catheter removal.

Findings:

  • The technique successfully facilitated smooth catheter removal without adverse effects.
  • Multiangle fluoroscopy and precise wire placement were crucial for success.
  • This method offers a safe alternative when standard maneuvers fail.

Implications:

  • This technique enhances safety and efficiency in managing kinked catheters during transradial angiography.
  • Operator expertise and careful device selection are vital for optimal outcomes.
  • Minimizing manipulation and utilizing intraluminal support can prevent vessel damage.
Abstract

Keywords:
kinked cathetertortious vesseltransradialtwisted catheter

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