Prevention and treatment of coronary catheter kinking

Catheter Cardiovasc Interv. 2024 Oct;104(4):767-772. doi: 10.1002/ccd.31203. Epub 2024 Aug 27.

Abstract

Coronary catheter kinking is an uncommon but potentially catastrophic complication of cardiac catheterization. Although simple maneuvers can often result in resolution of a kink, tighter knots may not respond to such measures. We provide a systematic, stepwise approach to the prevention and treatment of catheter kinking.

Keywords: catheter kinking; coronary angiography; femoral access; radial access; tortuosity; vascular complications.

MeSH terms

  • Cardiac Catheterization* / adverse effects
  • Cardiac Catheterization* / instrumentation
  • Cardiac Catheters* / adverse effects
  • Equipment Design
  • Equipment Failure
  • Humans
  • Treatment Outcome