Cardiovascular Surgery and Interventions 2015, Vol 2, Num 2 Page(s): 027-029
Treatment of catheter entrapment during transradial approach in a patient with vasospastic angina

Ertuğrul Zencirci1, Aleks Değirmencioğlu1, Aycan Esen Zencirci2, Gültekin Karakuş1, Ahmet Akyol1

1Department of Cardiology, Acıbadem Maslak Hospital, İstanbul, Turkey
2Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey

Keywords: Heating; transradial approach; vasospastic angina
In this report, we present a 27-year-old male patient who was scheduled for an urgent left heart catheterization due to resting angina pectoris with ST segment elevation in anterior precordial leads. Catheter entrapment occurred due to severe vasospasm of radial artery during transradial coronary angiography which showed coronary spasm treated with intracoronary nitroglycerin. Reversal of severe vasospasm and release of entrapped catheter were unable to be achieved until forearm heating. This case report is presented to demonstrate that forearm heating may effectively reverse severe and resistant vasospasm of radial artery during a transradial intervention in patients with vasospastic angina.

DOI : 10.5606/e-cvsi.2015.374