Entrapment of diagnostic catheter within Advisor HD grid mapping catheter

J Cardiovasc Electrophysiol. 2021 Mar;32(3):860-861. doi: 10.1111/jce.14893. Epub 2021 Jan 28.

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.

Publication types

  • Case Reports

MeSH terms

  • Arrhythmias, Cardiac
  • Catheter Ablation* / adverse effects
  • Catheters
  • Electrodes
  • Humans
  • Recurrence
  • Treatment Outcome