{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:20:20Z","timestamp":1788268820932,"version":"build-2803163510"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Guiding catheter kinking during primary percutaneous coronary intervention (PCI) is a rare but potentially hazardous complication that may result in vascular injury or procedural failure if not properly managed. A 75\u2010year\u2010old male with chronic kidney disease on maintenance hemodialysis via arteriovenous fistula presented with inferior ST\u2010segment elevation myocardial infarction and underwent emergent primary PCI via femoral access. During right coronary artery engagement with a 7\u2009F guiding catheter, severe double\u2010segment kinking developed. Wire\u2010assisted correction failed, and further manipulation led to pronounced deformation with extension toward the left subclavian artery. Considering the need to preserve upper extremity arteries in a dialysis patient, a contralateral femoral access was preferred for bailout management. A macro snare was used for distal stabilization, and controlled counter\u2010traction enabled progressive straightening and safe catheter retrieval without vascular injury. A new guiding catheter was subsequently introduced, and successful revascularization of the totally occluded right coronary artery was achieved. This case highlights the importance of structured snare\u2010assisted realignment and access\u2010site selection in managing severe catheter deformation during time\u2010critical PCI.<\/jats:p>","DOI":"10.1002\/ccd.70731","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T04:36:53Z","timestamp":1783312613000},"page":"844-847","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bailout Endovascular Retrieval of a Severely Kinked Guiding Catheter During Primary PCI for Inferior STEMI"],"prefix":"10.1002","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9864-4715","authenticated-orcid":false,"given":"Abd\u00fclmelik","family":"Birg\u00fcn","sequence":"first","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammet Cihat","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman","family":"Karaarslan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hitit University Erol Ol\u00e7ok Education and Research Hospital Corum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mucahit","family":"Yetim","sequence":"additional","affiliation":[{"name":"Depertament of Cardiology Hitit University, Faculty of Medicine \u00c7orum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8791-4475","authenticated-orcid":false,"given":"Macit","family":"Kal\u00e7\u0131k","sequence":"additional","affiliation":[{"name":"Depertament of Cardiology Hitit University, Faculty of Medicine \u00c7orum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Karavelio\u011flu","sequence":"additional","affiliation":[{"name":"Depertament of Cardiology Hitit University, Faculty of Medicine \u00c7orum Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607109335121"},{"issue":"1","key":"e_1_2_9_3_1","first-page":"3","article-title":"Entrapment of a Kinked Catheter in the Radial Artery During Transradial Coronary Angiography","volume":"24","author":"Kim J. 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