Skip to main content

Research Repository

Advanced Search

Turnpike Catheter failure, causes and mechanisms: Insights from the MAUDE database.

Mamas

Turnpike Catheter failure, causes and mechanisms: Insights from the MAUDE database. Thumbnail


Authors



Abstract

Background: The Turnpike catheters (Teleflex, Wayne, PA, USA) is a microcatheter that was approved by the Food and Drug Administration in November 2014 to be used to access discrete regions of the coronary and peripheral vasculature. Methods: The Manufacturer and User Facility Device Experience (MAUDE) database was queried for reports of the Turnpike catheters from March 2015 through August 2021. Results: A total of 216 reports were found during the study period. After excluding duplicate reports (n = 21), our final cohort included 195 reports. The most common failure mode was catheter tip break or detachment (83%, n = 165) which was significantly associated with over-torquing (p-value = 0.025). The most common clinical consequence was the entrapment of the catheter (33%, n = 65), followed by vessel injury (7.8% n = 15) and vessel occlusion (3.6%, n = 7). Most patients had no consequences (47.0%, n = 93) or recovered (11%, n = 22). A total of 4 deaths were reported. 35.8% of reports (n = 69) specified the presence of severe calcification in the target vessel. Over torquing by interventionists was reported in 33.2% of events (n = 64). Conclusion: Despite clinical trials demonstrating the safety of the Turnpike catheters, complications can still occur. These data serve to inform operators about potentional risks and complications associated with the use of the device. Physicians should avoid over-torqueing which seems to be the most common mechanism for device complications.

Journal Article Type Article
Acceptance Date Jun 2, 2022
Publication Date Jun 5, 2022
Publicly Available Date Mar 29, 2024
Journal Annals of Medicine and Surgery
Print ISSN 2049-0801
Volume 78
Article Number ARTN 103923
DOI https://doi.org/10.1016/j.amsu.2022.103923
Publisher URL https://www.sciencedirect.com/science/article/pii/S2049080122006835?via%3Dihub
Additional Information © 2022 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY license(http://creativecommons.org/licenses/by/4.0/).

Files




You might also like



Downloadable Citations