Hashimoto Sho, Takahashi Akihiko, Mizuguchi Yukio, Yamada Takeshi, Taniguchi Norimasa, Hata Tetsuya
Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo, 654-0026, Japan.
Cardiovasc Interv Ther. 2017 Apr;32(2):178-180. doi: 10.1007/s12928-016-0388-y. Epub 2016 Mar 11.
A 74-year-old man previously treated with bilateral femoro-popliteal bypass was referred to our hospital for the treatment of a severely tangled 4-Fr diagnostic catheter in the right brachial artery. We inserted a 5-Fr sheath introducer from the proximal right femoral artery and advanced a 5-Fr JR catheter to the right brachial artery. A Sion coronary guidewire was then advanced for the tip of the tangled catheter, and a 4-mm gooseneck snare catheter was inserted through the guidewire. The tip of the catheter was caught and successfully removed after clockwise untwisting. The patient was discharged the next day without any complications.
一名曾接受双侧股腘动脉搭桥术的74岁男性因右侧肱动脉内一根严重缠绕的4F诊断导管前来我院治疗。我们从右侧股动脉近端插入一根5F鞘管导入器，并将一根5F JR导管推进至右侧肱动脉。然后将一根SION冠状动脉导丝推进至缠绕导管的尖端，并通过导丝插入一根4mm鹅颈圈套导管。在顺时针扭转后，导管尖端被圈套住并成功取出。患者于次日出院，无任何并发症。
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