Archives of the Turkish Society of Cardiology
The Removing of Catheter that Kinked at The Radial Artery Through Anchoring of Distal part of The Catheter By The Needle via Transcutaneous [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-45095

The Removing of Catheter that Kinked at The Radial Artery Through Anchoring of Distal part of The Catheter By The Needle via Transcutaneous

Yakup Balaban1, Ali Hıdır Kayışoğlu1, Altuğ Tokatlı2, Aykut Tantan2
1Vm Medicalpark Kocaeli Hospital, Department of Cardiology, Başiskele, Kocaeli, Turkey
2Gölcük Necati Çelik Government Hospital, Department of Cardiology Gölcük, Kocaeli,Turkey

A 77-year-old male patient underwent a CABG operation 10 years ago and a permanent pacemaker implantation for 2 years.

He was enrolled to Coronary angiography because of He have typical angina and regional wall motion defect in his echocardiography.

That was started angiography via right radial artery after 5 F terumo sheath inserted. Soon after began angiography, 5 F diagnostic catheter was folded due to subclavian artery tortuosity. That folding could not be flattened with Guidewire 0,038, 0,035mm and rotation movements.

Thereafter we was penetrated percutaneously a "Green 21 gauge 40mm (1.5 inch) needle" to the catheter through the brachial artery with the help of the Scopy. Thus we was would stretch the catheter and correct the fold and that was removed from the sheath.

We did not seeing trauma or deformation in the brachial and radial arteries in the images we obtained later.

It was not possible to straighten the folding as long as the catheter was fixed from the distal portion and not stretched.

The catheter can be transdermally anchored with a needle when the catheter is fold in the upper extremity vessels. This method is reliable and simpler than other possible methods, and is atraumatic

Keywords: coronary angiography, complication, removing kinked catheter, subclavian artery tortuosity

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Corresponding Author: Yakup Balaban, Türkiye
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