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5 French guide catheters for percutaneous coronary intervention: A feasibility study in 100 consecutive patients
Author(s) -
Ormiston John A.,
Dixon Bridget,
Webster Mark W.I.,
Ruygrok Peter N.
Publication year - 2001
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/1522-726x(200101)52:1<45::aid-ccd1011>3.0.co;2-7
Subject(s) - medicine , percutaneous coronary intervention , groin , stent , percutaneous , surgery , intubation , mace , atherectomy , angioplasty , radiology , cardiology , restenosis , myocardial infarction
Percutaneous coronary intervention using smaller‐diameter guide catheters may have a favorable impact on groin complications, mobilization time, hospital stay, and contrast use. This prospective registry study assessed the feasibility of routine stent delivery through 5 Fr guide catheters. Of the 100 consecutive patients, 5 Fr guided intervention was attempted in 84 and was successful in all but 2 patients who had chronic complete occlusions. Reasons for not selecting a 5 Fr guide were planned kissing balloons (eight), directional coronary atherectomy (one), and no suitable 5 Fr guide in stock (seven). There was no stent dislodgment, need to change to a larger‐caliber guide, or inadequate contrast opacification. When necessary, guide support was achieved by deep‐vessel intubation, which was not associated with vascular damage. The only adverse sequelae were non–Q‐wave myocardial infarctions in two patients. Coronary artery stenting using 5 Fr guide catheters is feasible and applicable to most patients. Cathet Cardiovasc Intervent 2001;52:45–48. © 2001 Wiley‐Liss, Inc.