فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: Transradial coronary angiography is well-liked due to its minimally invasive nature and quicker recovery. However, there are some occasional complications, such as catheter kinking and entrapment, that can lead to vascular injury and longer procedure times. In this report, we describe a new, non-invasive technique that employs a blood pressure cuff to manage catheter entrapment when conventional maneuvers are unsuccessful.Case Presentation: An 84-year-old woman with a history of coronary artery disease, hypertension, dyslipidemia, anemia, and hypothyroidism presented with persistent palpitations and chest pain radiating to her neck that was getting worse.  A transradial coronary angiography was planned. The catheter was deeply kinked and trapped in the radial artery during transradial coronary angiography.  The deployment of a gooseneck snare and hand repositioning, two common recovery procedures, were unsuccessful.  In order to get around this problem, a blood pressure cuff was placed close to the entrapment site and gradually inflated. This changed the dynamics of the radial artery lumen and allowed the entrapped catheter to be released without the need for surgery.Conclusion (Clinical Key Message): The creative use of a blood pressure cuff is a practical, non-invasive way to end catheter entrapment during transradial coronary angiography, as this instance illustrates.  This procedure highlights the value of flexibility and creativity in interventional cardiology by providing a readily available, affordable option without the possibility of further arterial damage.