Waked Alain, Khoueiry Georges, Bhat Tariq
Division of Cardiology, Staten Island University Hospital, Staten Island, NY 10305, USA.
J Invasive Cardiol. 2012 Sep;24(9):471-2.
Transradial access for cardiac catheterization is widely accepted as a safe and viable approach with markedly decreased incidence of major accessrelated complications compared to the transfemoral approach. Minor catheter looping or kinking during catheter manipulation is common and can be managed with gentle rotation, and thus goes unnoticed without complications. Rarely, this looped/kinked catheter can get entrapped and require an invasive approach for retrieval. To our knowledge, there is only one such case described for the transradial approach, where the authors had to use a 6 Fr Amplatz gooseneck snare kit via right femoral approach to remove the entrapped catheter. We present a case of entrapped looped/kinked 5 Fr catheter during transradial catheterization in the brachial artery and describe a novel approach of removing this entrapped catheter through the same radial access without any complications.
与经股动脉途径相比，经桡动脉途径进行心脏导管插入术被广泛认为是一种安全可行的方法，主要与穿刺相关的并发症发生率显著降低。在导管操作过程中，导管出现轻微的盘绕或扭结很常见，通过轻柔旋转即可处理，因此在没有并发症的情况下未被注意到。很少见的是，这种盘绕/扭结的导管可能会被卡住，需要采用侵入性方法取出。据我们所知，经桡动脉途径仅描述过1例此类病例，作者不得不通过右股动脉途径使用6F的Amplatz鹅颈圈套器套件来取出被卡住的导管。我们报告1例在经桡动脉途径行肱动脉导管插入术时5F导管被卡住并盘绕/扭结的病例，并描述了一种通过相同的桡动脉穿刺途径取出该被卡住导管且无任何并发症的新方法。
