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Entrapment of diagnostic catheter within Advisor HD grid mapping catheter
Authors:Philip L. Mar MD  Luke Chong MD  Arturo Perez MD  Dhanunjaya Lakkireddy MD  Rakesh Gopinathannair MD  MA   FAHA  FACC   FHRS
Affiliation:1. Division of Cardiology, Saint Louis University, Saint Louis, Missouri, USA;2. Kansas City Heart Rhythm Institute, Kansas City, Kansas, USA
Abstract:The potential for catheter entanglement with the HD Grid mapping catheter is explicitly stated in the manufacturer's product manual. A case of an entrapped 6 French quadripolar diagnostic catheter within an HD Grid mapping catheter is presented. We discuss the diagnosis, management, and resolution of this complication in our patient. The patient's arrhythmia was successfully eliminated, and no vascular complication in the postprocedural setting nor arrhythmia recurrence at follow-up were observed. Strategies to prevent and safely manage this complication, while salvaging access, are also discussed.
Keywords:ablation  catheter entanglement  electrophysiology study  procedural complication  supraventricular tachycardia
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