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Troubleshooting for Kinked Coronary Catheter: How to Manage?; A Case Series

Heart Science Journal · Vol. 4 No. 3 (2023) · hlm. 34–41

DOI
10.21776/ub.hsj.2023.004.03.7
ISSN
2721-9984, 2721-9976
Terbit
2023-07-01
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: Catheter entrapment and knotting are two problems that might arise during coronary angiography, regardless of the method used. It is not uncommon for the catheter shaft to become kinked during diagnostic or interventional procedures. Still, if the manipulation fails, an invasive retrieval method is usually necessary for cases with extensive catheter kinking.Case Illustration: We present two cases illustrating how different angiography approaches could lead to severe catheter kinking. Because of the significant tortuosity of the vasculature, even a gentle opposite rotation maneuver and the antegrade advancement of multiple guidewires failed to untwist the guide catheter. Once a twisted catheter has been identified via fluoroscopy, the twist can be eased by gently twisting the catheter in the opposite direction. It is not always easy. It could lead to using other interventional techniques such as snare, balloon, or surgical procedures. In our cases, we used a snare to snag the catheter's tip and untied the loop's knot. This prevented the need for unscheduled surgical intervention. We evaluated from angiography. There were no further complications. The patients were released from the hospital the following day.Conclusion: Although a kinked catheter could become entrapped, various approaches can be taken to deal with this difficulty and prevent the need for surgical intervention.

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
  • Afiliasi tidak diketahui
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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya41
Cholid Tri TjahjonoUniversity of Brawijaya29
Ardian RizalUniversity of Brawijaya23
Djanggan SargowoUniversity of Brawijaya21
Anna Fuji RahimahUniversity of Brawijaya20
Indra PrasetyaUniversity of Brawijaya18
Setyasih AnjarwaniUniversity of Brawijaya17
Heny MartiniUniversity of Brawijaya10
Putri Annisa KamilaUniversity of Brawijaya6
Muhammad Rizki FadlanUniversity of Brawijaya5
Seprian WidasmaraUniversity of Brawijaya5
Dea Arie KurniawanUniversity of Brawijaya5
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya5
Adhika Prastya WikanandaUniversity of Brawijaya4
Yoga WaranugrahaUniversity of Brawijaya4
Anna Fuji RahimahAfiliasi tidak diketahui4
Imam Mi'raj SuprayogaUniversity of Brawijaya4
Sawitri SatwikajatiUniversity of Brawijaya3
Harris KristantoUniversity of Brawijaya3
Dyah Ayu IkeningrumRSUD Prof. Dr. Saiful Anwar Malang3
Evit RuspionoAfiliasi tidak diketahui3
Imelda KrisnasariUniversity of Brawijaya3
Wella KarolinaUniversity of Brawijaya3
Tonny AdriyantoUniversity of Brawijaya2
Irma KameliaUniversity of Brawijaya2
Oktafin Srywati PamunaUniversity of Brawijaya2
Shalahuddin Suryo BaskoroUniversity of Brawijaya2
Zainal FathurohimUniversity of Brawijaya2
Dedy IrawanUniversity of Brawijaya2
Liemena Harold AdrianRSUD Prof. Dr. Saiful Anwar Malang2
Aloysius Yuwono SupraptaUniversity of Brawijaya2
Yudi Putra ApridityaUniversity of Brawijaya2
Valerinna YogibuanaAfiliasi tidak diketahui2
Lutfi Hafiz ZunardiUniversity of Brawijaya2
Hayla Iqda MillisaniUniversity of Brawijaya2

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Troubleshooting for Kinked Coronary Catheter: How to Manage? ; A Case Series</dc:title>
	<dc:creator xml:lang="en">Noverike, Nikhen</dc:creator>
	<dc:creator xml:lang="en">Satrijo, Budi</dc:creator>
	<dc:creator xml:lang="en">Widito, Sasmojo</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Abusari, Muchamad</dc:creator>
	<dc:subject xml:lang="en">Catheter</dc:subject>
	<dc:subject xml:lang="en">Transradial Intervention</dc:subject>
	<dc:subject xml:lang="en">ST-elevation Myocardial Infarction</dc:subject>
	<dc:subject xml:lang="en">Kinked Catheter</dc:subject>
	<dc:description xml:lang="en">Background: Catheter entrapment and knotting are two problems that might arise during coronary angiography, regardless of the method used. It is not uncommon for the catheter shaft to become kinked during diagnostic or interventional procedures. Still, if the manipulation fails, an invasive retrieval method is usually necessary for cases with extensive catheter kinking.Case Illustration: We present two cases illustrating how different angiography approaches could lead to severe catheter kinking. Because of the significant tortuosity of the vasculature, even a gentle opposite rotation maneuver and the antegrade advancement of multiple guidewires failed to untwist the guide catheter. Once a twisted catheter has been identified via fluoroscopy, the twist can be eased by gently twisting the catheter in the opposite direction. It is not always easy. It could lead to using other interventional techniques such as snare, balloon, or surgical procedures. In our cases, we used a snare to snag the catheter's tip and untied the loop's knot. This prevented the need for unscheduled surgical intervention. We evaluated from angiography. There were no further complications. The patients were released from the hospital the following day.Conclusion: Although a kinked catheter could become entrapped, various approaches can be taken to deal with this difficulty and prevent the need for surgical intervention.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2023-07-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/11509</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2023.004.03.7</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 4 No. 3 (2023): The Essensial Role of the Metabolic Syndrome in the Development of Cardiovascular Disease; 34-41</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2023.004.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/11509/356</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2023 Nikhen Noverike, Budi Satrijo, Sasmojo Widito, Novi Kurnianingsih, Muchamad Abusari</dc:rights>
</oai_dc:dc>