• J Invasive Cardiol · Aug 2012

    Case Reports

    Percutaneous retrieval of a fractured guide catheter using contralateral snaring.

    • Tesfaldet T Michael, Subhash Banerjee, and Emmanouil S Brilakis.
    • Dallas VA Medical Center (111A), 4500 South Lancaster Road, Dallas, TX 75216, USA.
    • J Invasive Cardiol. 2012 Aug 1; 24 (8): E176-8.

    AbstractGuide catheter kinking and fracture is an uncommon complication of percutaneous coronary intervention and may require emergency surgical intervention if percutaneous retrieval fails. We present a case of guide catheter kinking and fracture during attempts to engage the left main coronary artery in a patient with marked iliac tortuosity. The retained guide catheter fragment was retrieved percutaneously by using a snare from the contralateral femoral artery and removing the "folded-over" catheter fragment through the contralateral arteriotomy.

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