Femoral Access-Assisted Balloon Trapping: A Novel Approach to Managing Kinked Catheter During Transradial Coronary Intervention—A Case Report


Tüner H., Polat F., Kayhan Ö. Ö., Göktekin Ö.

Catheterization and Cardiovascular Interventions, cilt.105, sa.7, ss.1740-1743, 2025 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 105 Sayı: 7
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1002/ccd.31523
  • Dergi Adı: Catheterization and Cardiovascular Interventions
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1740-1743
  • Anahtar Kelimeler: balloon trapping technique, catheter kinking, transradial access, vascular complications
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Catheter kinking is a rare but significant complication of trans-radial coronary interventions, often caused by arterial tortuosity, vessel spasm, or improper catheter manipulation. We present a case of catheter kinking that occurred during coronary engagement in a transradial procedure, which could not be resolved using conventional techniques. Given the failure of guidewire advancement and deep inspiration maneuvers, a femoral access-assisted balloon trapping technique was employed. This method allowed for the successful retrieval of the kinked catheter while minimizing vascular trauma and ensuring procedural completion. Catheter kinking during trans-radial coronary interventions poses technical challenges requiring tailored management strategies. This case underscores the effectiveness of femoral access-assisted balloon trapping technique as a viable and minimally invasive solution. Increased awareness and preparedness for such complications can enhance procedural success and patient safety.