Key result
A completely fractured 6 Fr Ikari guide catheter in the brachial artery during transradial PCI was successfully retrieved using a 6 Fr JR guiding catheter.
Why the study?
Catheter fracture is an uncommon complication during transradial PCI that can occur with excessive twisting of the guide catheter.
Case Report (n=1)
No
Highlights an uncommon but severe complication of guide catheter fracture during transradial percutaneous coronary intervention.
Catheter fracture remains rare in transradial access; leaves open prospective evaluation of kinking prevention strategies.
Transradial access has now a days become a standard of care for percutaneous coronary angiography & intervention. This approach has demonstrated significant reduction in bleeding rate, length of hospital stay and improvement in clinical outcomes when compared to the traditional TF approach. However this novel approach may lead to severe catheter kinking & twisting and further manipulation may require unraveling the catheter and avoiding complication. The fracture of a guide catheter is an uncommon complication during percutaneous coronary intervention (PCI). It sometimes occurs during engagement of the right coronary ostium, when there is excessive twisting of the guide catheter. An interesting case of complete fracture of a 6 Fr Ikari guide catheter in the brachial artery during transradial coronary intervention is presented. Ibrahim Card Med J 2018; 8 (1&2): 66-70
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Kabir et al. (2019) conducted a case report in Unstable Angina and Catheter Fracture during PCI (n=1). Transradial retrieval using a 6 Fr JR guiding catheter was evaluated on Successful retrieval of the broken catheter. A completely fractured 6 Fr Ikari guide catheter in the brachial artery during transradial PCI was successfully retrieved using a 6 Fr JR guiding catheter.
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