open access

Ahead of print
Case Reports
Published online: 2018-09-14
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Complex Hair pin loop in origin of radial artery- How to address the issue during transradial catheterization.

Santosh Kumar Sinha, Kumar Himanshu, Lokendra Rekwal, Puneet Aggarwal, Mahmodulla Razi, Vinay Krishna
DOI: 10.5603/FC.a2018.0094

open access

Ahead of print
Case Reports
Published online: 2018-09-14

Abstract

During transradial catheterization, sharp edge of the guiding catheter tip may act like a ‘‘razor-blade’’ and can hinder its navigation which is more common when one encounters radial artery loop, tortuosity, and radial artery spasm. Here, we report a case of 59-year old female who had a double hairpin turn with 360° loop at radio-brachial region. The loop was creating a ‘‘razor-blade’’ effect which was circumvented using balloon assisted technique and thus enabling tracking the diagnostic catheter, making procedure successful.

Abstract

During transradial catheterization, sharp edge of the guiding catheter tip may act like a ‘‘razor-blade’’ and can hinder its navigation which is more common when one encounters radial artery loop, tortuosity, and radial artery spasm. Here, we report a case of 59-year old female who had a double hairpin turn with 360° loop at radio-brachial region. The loop was creating a ‘‘razor-blade’’ effect which was circumvented using balloon assisted technique and thus enabling tracking the diagnostic catheter, making procedure successful.

Get Citation

Keywords

Transradial catheterization; Double hairpin turn; Razor-blade effect; Balloon assisted technique

About this article
Title

Complex Hair pin loop in origin of radial artery- How to address the issue during transradial catheterization.

Journal

Folia Cardiologica

Issue

Ahead of print

Published online

2018-09-14

DOI

10.5603/FC.a2018.0094

Keywords

Transradial catheterization
Double hairpin turn
Razor-blade effect
Balloon assisted technique

Authors

Santosh Kumar Sinha
Kumar Himanshu
Lokendra Rekwal
Puneet Aggarwal
Mahmodulla Razi
Vinay Krishna

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