The Interscapular Lift: Unfolding the Tortuous Subclavian Artery.

JACC Case Rep

Prairie Vascular Research Inc, Regina, Saskatchewan, Canada; College of Medicine, University of Saskatchewan, Regina, Saskatchewan, Canada; Saskatchewan Health Authority (SHA), Saskatoon, Saskatchewan, Canada. Electronic address:

Published: April 2025


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Article Abstract

Objective: Transradial cardiac catheterization has gained popularity because of its reduced risk of access-site complications, yet procedural failures remain frequent, often caused by subclavian artery tortuosity. We propose an alternative maneuver to improve procedural success rates, addressing the challenge of subclavian artery tortuosity more efficiently than existing time-consuming and resource-intensive techniques.

Key Steps: Place a towel between the patient's scapulae to retract the shoulders before advancing the catheter.

Potential Pitfalls: Aside from the increased time taken to place the towel and patient discomfort, no pitfalls are anticipated when attempting this maneuver.

Take-home Messages: In cases of severe subclavian artery tortuosity, positioning the patient supine with a towel between the scapulae can facilitate successful transradial cardiac catheterization.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047001PMC
http://dx.doi.org/10.1016/j.jaccas.2024.103225DOI Listing

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