Clinical approach to the knotting diagnostic quadripolar catheter during zero‐fluoro electrophysiological study. Issue 5 (29th March 2019)

• Record Type: Journal Article
• Authors: Tan, Vern Hsen; Ching, Chi Keong; Wong, Kelvin Cheok Keng
• Is Part Of: Clinical case reports. Volume 7:Issue 5(2019)
• Page Start: 926
• Page End: 929
• Publication Date: 2019-03-29
• Subjects: electrophysiology procedure -- knotting of catheter -- unravel; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.2123
• Languages: English
• ISSNs: 2050-0904

Abstract

Key Clinical Message: We report a case of electrophysiology catheter knotting when inserted without fluoroscopic guidance followed by technique to unravel the knot via ipsilateral femoral vein. We advocate caution when manipulating catheters using minimal/zero fluoroscopic technique and having a low threshold to screen under fluoroscopy when encountering difficulties during catheter insertion. Abstract : We report a case of electrophysiology catheter knotting when inserted without fluoroscopic guidance followed by technique to unravel the knot via ipsilateral femoral vein. We advocate caution when manipulating catheters using minimal/zero fluoroscopic technique and having a low threshold to screen under fluoroscopy when encountering difficulties during catheter insertion.