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Retrieval of a Severely Double-Kinked Catheter in the Right Brachial Artery by Internal Fixation with a Peripheral Angioplasty Balloon

Kewal Kanabar, MD; Rujuta Parikh, MD; Pooja Vyas, MD; Vishal Sharma, MD; Apoorva M. MD

02/29/2024
Video 1. Fluoroscopy shows double knot of the 5-French Judkins right catheter (Medtronic) in the brachial artery at the level of elbow.
Video 2. Fluoroscopy shows unsuccessful attempt at snaring the catheter tip from right femoral access.
Video 3. Digital subtraction angiogram shows thrombotic occlusion of the axillary artery.
Video 4. Fluoroscopy shows straightening of the knot after fixation with a 5 × 100-mm Ultraverse (Becton Dickinson) peripheral angioplasty balloon in the axillary artery.
Video 5. Fluoroscopy shows slow retrieval of the kinked catheter while the angioplasty balloon was deflated.
Video 6. Digital subtraction angiogram shows small dissection of the axillary artery due to balloon dilatation with good flow.
Video 7. Cine-angiogram shows acceptable distal flow in the brachial and ulnar arteries with occluded radial artery.

 

Video Supplement to "Retrieval of a Severely Double-Kinked Catheter in the Right Brachial Artery by Internal Fixation with a Peripheral Angioplasty Balloon" (Clinical Image).


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