A jr4 catheter was used to engaged the right coronary artery for a stent placement.The site was predilate, stented and post dilated without complication.During post angiogram of the right coronary artery, bubbles were sent down the vessel.St elevation was noted on the ekg.Slow flow was noted in the vessel.Intracoronary nitroprusside was administered.Patient was started on a levophed drip.St elevation resolve with ic nipride.A kink/hole was noted on the catheter by the physician.The physician concluded that the kink/hole on the catheter could of cause the bubbles.Spoke with cardiac catheter lab clinical manager.During catheterization, the proceduralist was attempting to manipulate the catheter guide in a normal fashion to maintain access.During this manipulation, the line was thought to have become kinked which led to the above incident.After needed interventions, the patient had a favorable outcome.Patient remains in house for observation purposes.
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