Open AccessEfficacy and safety of transradial percutaneous coronary intervention using sheathless guide catheter technique
Author(s) -
Mohamed Aboel-Kassem F. Abdelmegid,
Amr A Youssef,
Masashi Iwabuchi,
Masakiyo Nobuyoshi
Publication year - 2014
Publication title -
the egyptian heart journal /the egyptian heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.212
H-Index - 9
eISSN - 2090-911X
pISSN - 1110-2608
DOI - 10.1016/j.ehj.2013.12.031
Subject(s) - medicine , conventional pci , radial artery , balloon , percutaneous coronary intervention , surgery , percutaneous , catheter , target lesion , radiology , artery , myocardial infarction
To evaluate the safety and efficacy of transradial (TR) percutaneous coronary intervention (PCI) using sheathless hydrophilic-coated guiding catheter (GC) technique compared to the standard TR PCI via 6F GC.Methods and results: 67 patients (93 lesions) who underwent TR PCI using sheathless GC technique (6.5 or 7.5 Fr GC) or standard TR PCI (6Fr GC) were included. They were divided into two groups; sheathless TR PCI group (27 patients with 28 lesions) and standard TR PCI group (49 patients with 65 lesions). Baseline clinical, lesion and procedural characteristics were recorded. Radial artery was assessed clinically and using Doppler ultrasound before discharge and after one month. All patients were elective or ad-hoc PCI. The procedure success rate was 100% in both groups. The Sheathless TR PCI patients were older and male sex than standard TR PCI group. ACC/AHA lesion type B2 and C and bifurcation lesions were significantly high at Sheathless TR PCI group. In addition, using IVUS and performing final kissing balloon for bifurcation lesion were significantly common in sheathless TR PCI patients. One patient required rotational atherectomy and another one underwent hugging balloon technique in sheathless TR PCI group but non in the other group. There were no procedure complications or access-site complications in both groups. One patient in sheathless TR PCI group and another in standard TR PCI group (3.7% and 2.1% respectively) experienced radial artery occlusion after the procedure at one-month follow-up without clinical sequelae.Conclusions: TR PCI via standard and sheathless hydrophilic-coated GC techniques are effective and safe with high rate of procedural success and low rate of asymptomatic radial artery occlusion. Moreover, TR PCI using sheathless GC technique has the advantage of performing complex intervention requiring large bore catheters that can not be performed via standard TR PCI using 6F GC