# An Unexpected Right Turn: Multipurpose A2 Catheter Causing Right Atrial Perforation

## TL;DR

A medical case report shows how a specific catheter can accidentally cause a hole in the heart's right atrium, emphasizing the need for careful use and diagnostic checks.

## Contribution

Highlights a rare complication of using Multipurpose A2 catheters and provides clinical guidance to prevent cardiac perforation.

## Key findings

- Multipurpose A2 catheters can cause iatrogenic right atrial perforation.
- Stabilizing the catheter in place can reduce the risk of tamponade if perforation is suspected.

## Abstract

Fluoroscopic anatomy varies between patients and should be confirmed with echocardiography or angiography to avoid complications. Multipurpose A2 catheters risk cardiac perforation and must be advanced only over soft J‐tipped wires. If perforation is suspected, stabilize the catheter in place to reduce tamponade risk by wedging the site.

Multipurpose A2 catheter induced iatrogenic right atrial perforation.