Vascular entrapment of a multipolar basket catheter (Orion^TM) during catheter ablation

Abstract

The IntellaMap OrionTM (Boston Scientific) is a 64‐electrode basket catheter allowing for ultrahigh‐density mapping of complex cardiac arrhythmias. We report the case of a basket catheter vascular entrapment, requiring surgical removal.

Entrapment of a spline from a multielectrode mapping catheter in the side hole of a nonsteerable guiding sheath, with dislodgement and subsequent suction retrieval of a proximal spline electrode

“… 3 Given the complexity of subvalvular structures and the nonlinear nature of the catheter, surgical intervention is often required for catheter retrieval. 4 Catheter entanglement with other structures has been reported as well, including the vascular system involving the pulmonary veins 5 , 6 and the ostium of the right internal iliac vein, 7 mechanical mitral valves, 8 , 9 or the Chiari network. 10 In the presence of prosthetic heart valves, significant interaction and device embolization has been reported, even with straight, single-shaft catheters.…”

Coronary sinus spasm with catheter entrapment and adjacent coronary artery compression during an ablation procedure in a child

“…Most case reports involve ablation, circular mapping, or high-density mapping catheters trapped in native or prosthetic mitral valves 1 , 2 or Chiari networks. 3 , 4 Rare cases have been reported of catheters wedged in pulmonary 5 or iliac 6 veins, the tricuspid valve apparatus, 7 and the Thebesian valve. 8 Catheter-to-catheter entanglement has also been described, such as in a side hole of a sheath 9 or in the grid of a mapping catheter.…”