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Transradial percutaneous coronary intervention for chronic total occlusion using sheathless technique and retrograde approach
Author(s) -
Lin ChengJui,
Fang HsiuYu,
Chen TienHsing,
Wu ChiungJen
Publication year - 2013
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.24758
Subject(s) - medicine , percutaneous coronary intervention , radial artery , angioplasty , percutaneous , occlusion , catheter , surgery , radiology , cardiology , artery , myocardial infarction
The use of 5 or 6 Fr sheath in transradial (TR) approach is often required due to the relative small radial artery size. A sheathless approach may overcome the limitation of small radial size which limits the TR approach. Our case showed successful angioplasty of the right coronary artery chronic total occlusion (CTO) by bilateral TR approaches, utilizing a 7‐Fr guide (7 Fr BL 3.5, 85 cm) for a retrograde sheathless approach, and a 6‐Fr Ikari 3.5 guide catheter for an antegrade approach. The sheathless TR technique can minimize vascular trauma and increase back‐up support for successful coronary intervention in CTO.© 2013 Wiley Periodicals, Inc.