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Sheathless transradial intervention using standard guide catheters
Author(s) -
From Aaron M.,
Gulati Rajiv,
Prasad Abhiram,
Rihal Charanjit S.
Publication year - 2010
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/ccd.22742
Subject(s) - medicine , conventional pci , radial artery , atherectomy , percutaneous coronary intervention , surgery , femoral artery , catheter , angioplasty , unstable angina , percutaneous , occlusion , radiology , artery , cardiology , myocardial infarction , stent , restenosis
Objectives: Our aim was to report our preliminary experience performing complex transradial interventions using a sheathless technique with standard large bore nonhydrophilic guiding catheters. Background: A major limitation of transradial percutaneous coronary intervention (PCI) is the inability to use large guides because of the relatively small size of the radial artery. Methods: We identified consecutive patients who had transradial PCI between September 2009 and March 2010 using large‐bore guides (7 or 8 Fr) with a sheathless technique. Results: Ten patients were identified (90% men, mean age 68.8 ± 9.8 years). Indications for PCI were stable angina (60%) and acute coronary syndrome (40%). Treatment was attempted on 15 vessels. Bifurcation lesions were present in six patients. One patient had a chronic total occlusion, one had a saphenous vein bypass graft lesion requiring filter wire placement prior to intervention, and one patient required rotational atherectomy. In the majority of patients (60%) a 7‐Fr guiding catheter was used for the intervention; 8‐Fr guide catheters were used four patients. PCI was unsuccessful in one vessel; this was a completely occluded obtuse marginal which could not be crossed. There were no radial artery access site complications and in no case was cross‐over to a femoral artery access site required. One minor coronary complication occurred. Conclusions: Sheathless transradial PCI using standard large‐bore guiding catheters is a safe and effective method for treatment of complex lesions. © 2010 Wiley‐Liss, Inc.