Complex transradial percutaneous coronary intervention using sheathless guide catheter
10.3969/j.issn.1004-8812.2014.10.003
- VernacularTitle:经桡动脉用7.5 F无鞘指引导管完成冠状动脉复杂病变介入治疗的初步经验
- Author:
Huiqiang ZHAO
;
Hui CHEN
;
Dongbao LI
;
Daokuo YAO
;
Siwen LIANG
;
Xiangyu GAO
;
Xiaosong DING
;
Guanming QI
;
Lei WANG
;
Hongwei LI
- Publication Type:Journal Article
- Keywords:
Sheathless guide catheter;
Radial artery;
Coronary artery disease;
Percutaneous coronary intervention
- From:
Chinese Journal of Interventional Cardiology
2014;(10):621-625
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarizes the experiences and technique of complex transradial percutaneous coronary intervention (PCI) using sheathless guide catheter (Sheathless Eaucath, ASAHI) for 60 patients with coronary heart disease. Methods Retrospectively analyzed the data from 60 patients received PCI using sheathless guide catheter. Results PCI were performed on a total of 60 patients with complex lesions. Angiographic success was achieved in 95.0%and failed in three patients with CTO. 7 patients were with left main lesions, and 32 patients were with bifurcation lesions(including 7 patients with left main lesions and 2 patients with CTO), and 13 patients were with CTO, and the other 17 patients were with tortuous and calcified lesions. Sheathless guide catheters of 7.5Fr were used for PCI in all patients, and all catheters successfully passed through the radial artery and were put in place. No other vascular complications associated with the use of the catheter occurred. Sheathless guide catheters were respectively JL(8 patients), PB(2 patients), AL(2 patients), and JR(1 patient) in 13 patients with CTO, and were respectively JL(8 patients), JR(6 patients), SPB(2 patients), AL(1 patient) in 17 patients with tortuous and calcified lesions. JL or JR were used in all 32 patients with bifurcation. Conclusions Use of the Sheathless of 7.5 Fr is safe and feasible, and allows complex interventions to be undertaken transradially with a high success rate.
