Zero-fluoroscopy electrophysiology catheter insertion carries a risk of catheter knotting, which can be successfully unraveled via the ipsilateral femoral vein.
Highlights the risk of catheter knotting during zero-fluoroscopy EP studies and describes a technique to unravel it via the ipsilateral femoral vein, advocating for a low threshold to use fluoroscopy when difficulties arise.
Absolute Event Rate: 0% vs 0%
We report a case of electrophysiology catheter knotting when inserted without fluoroscopic guidance followed by technique to unravel the knot via ipsilateral femoral vein. We advocate caution when manipulating catheters using minimal/zero fluoroscopic technique and having a low threshold to screen under fluoroscopy when encountering difficulties during catheter insertion.
Tan et al. (Fri,) reported a other. Zero-fluoroscopy electrophysiology catheter insertion carries a risk of catheter knotting, which can be successfully unraveled via the ipsilateral femoral vein.