Conflict of interest: Nothing to report.
Coronary Artery Disease
Percutaneous retrieval of a twisted guide catheter using a longer second radial sheath
Version of Record online: 7 NOV 2013
Copyright © 2013 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 83, Issue 4, pages 560–563, 1 March 2014
How to Cite
Leibundgut, G., Löffelhardt, N. and Neumann, F.-J. (2014), Percutaneous retrieval of a twisted guide catheter using a longer second radial sheath. Cathet. Cardiovasc. Intervent., 83: 560–563. doi: 10.1002/ccd.25231
- Issue online: 15 FEB 2014
- Version of Record online: 7 NOV 2013
- Accepted manuscript online: 6 OCT 2013 06:02AM EST
- Manuscript Accepted: 24 SEP 2013
- Manuscript Received: 24 JUL 2013
- percutaneous coronary intervention;
- guide wire twist
Coronary angiography and percutaneous coronary intervention (PCI) over the radial approach are becoming more frequent and are recommended by the European Association of Percutaneous Cardiovascular Interventions and European Society of Cardiology. The radial approach leads to less bleeding and improved survival in ST-segment elevation myocardial infarction. Pronounced guide catheter manipulation in cases with tortuous access routes and requirement of extra backup during complex PCI may structurally damage the guide shaft and facilitate twisting and bending. We present three cases where a twisted coronary catheter became stuck in the radial artery and describe a minimally invasive retrieval technique using a second introducer sheath of same French (F) size and greater length. © 2013 Wiley Periodicals, Inc.