000			03595nam a22005657a 4500
008			180508s20182018 xxu||||| |||| 00| 0 eng d
022			_a1522-1946
024			_a10.1002/ccd.27623 [doi]
040			_aOvid MEDLINE(R)
099			_a29602215
245			_aReduction of catheter kinks and knots via radial approach.
251			_aCatheterization & Cardiovascular Interventions. 92(6):1141-1146, 2018 11 15.
252			_aCatheter Cardiovasc Interv. 92(6):1141-1146, 2018 11 15.
253			_aCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
260			_c2018
260			_fFY2019
265			_sppublish
266			_d2018-05-08
269			_fFY2018
501			_aAvailable online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
520			_aCopyright (c) 2018 Wiley Periodicals, Inc.
520			_aCoronary angiography and percutaneous coronary intervention using the radial approach are becoming more frequent. Pronounced guide catheter manipulation in cases with tortuous access routes may lead to severe catheter kinking or knotting. The purpose of this review article is to present several techniques to resolve radial access catheter knots and kinks. First, simple maneuvers such as gentle traction, rotation, and guidewire advancement can often resolve minor kinking; however, complex loops and kinks are often not reversible with these simple maneuvers. Second, fixing the distal catheter tip using external compression, encasing the knot with a larger sheath, or untwisting the knot with hydraulic pressure can be useful. Finally, internal fixation by grasping the kinked catheter with a snare introduced via the femoral artery allows both ends of the catheter to be rotated in opposite directions to untwist the catheter for safe removal.
546			_aEnglish
650			_a*Cardiac Catheterization/is [Instrumentation]
650			_a*Cardiac Catheters
650			_a*Catheterization, Peripheral/mt [Methods]
650			_a*Coronary Angiography/is [Instrumentation]
650			_a*Device Removal/mt [Methods]
650			_a*Equipment Failure
650			_a*Percutaneous Coronary Intervention/is [Instrumentation]
650			_a*Radial Artery
650			_aCardiac Catheterization/ae [Adverse Effects]
650			_aCatheterization, Peripheral/ae [Adverse Effects]
650			_aCoronary Angiography/ae [Adverse Effects]
650			_aEquipment Design
650			_aHumans
650			_aPercutaneous Coronary Intervention/ae [Adverse Effects]
650			_aRadial Artery/dg [Diagnostic Imaging]
651			_aMedStar Heart & Vascular Institute
657			_aCase Reports
700			_aBen-Dor, Itsik
700			_aRogers, Toby
700			_aSatler, Lowell F
700			_aWaksman, Ron
790			_aBen-Dor I, Rogers T, Satler LF, Waksman R
856			_uhttps://dx.doi.org/10.1002/ccd.27623 _zhttps://dx.doi.org/10.1002/ccd.27623
858			_ySatler, Lowell F _yWaksman, Ron _uhttp://orcid.org/0000-0001-6446-2683 _uhttp://orcid.org/0000-0002-4063-9226 _zhttp://orcid.org/0000-0001-6446-2683 _zhttp://orcid.org/0000-0002-4063-9226 _zhttp://orcid.org/0000-0001-6446-2683 _zhttp://orcid.org/0000-0002-4063-9226
858			_ySatler, Lowell F _yWaksman, Ron _uhttp://orcid.org/0000-0001-6446-2683 _uhttp://orcid.org/0000-0002-4063-9226 _zhttp://orcid.org/0000-0001-6446-2683 _zhttp://orcid.org/0000-0002-4063-9226 _zhttp://orcid.org/0000-0001-6446-2683 _zhttp://orcid.org/0000-0002-4063-9226
942			_cART _dArticle
999			_c10769 _d10769