Application of Kaneka dual lumen microcatheter combined with anchored balloon in treating bifurcation lesions via radial artery 6 F catheter
10.3969/j.issn.1009-0126.2024.10.006
- VernacularTitle:双腔微导管联合锚定球囊在经桡动脉6F指引导管处理分叉病变中的应用分析
- Author:
Xiaonan GUAN
1
;
Ning MA
;
Dan QI
;
Wenting LIU
;
Min ZONG
;
Hua ZHAO
;
Jianjun ZHANG
Author Information
1. 100043 首都医科大学附属北京朝阳医院心内科
- Keywords:
microcatheter;
radial artery;
stents;
coronary artery disease
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2024;26(10):1143-1146
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of utilizing Kaneka dual lumen microcatheter in combination with anchored balloon in treatment of bifurcation lesions in elderly patients with ra-dial artery 6 F catheter.Methods A retrospective analysis was performed on 168 patients(≥60 years)receiving bifurcation treatment with a 6 F catheter via the radial artery at the Heart Center of our hospital from January 2020 to January 2023.According to application of dual lumen micro-catheters and anchoring balloon technology or not,they were assigned into an anchoring group(81 cases old)and a control group(87 cases).A comparison was made between the two groups in terms of features of coronary artery disease,operation procedure,and MACE.Multivariate logistic regression analysis was employed.Results Lower incidence of dissection,shorter operation time,less X-ray exposure dose,and decreased contrast agent dosage were observed in the anchoring group when compared with the control group(P＜0.05,P＜0.01).There was no statistical differ-ence in the MACE incidence between the two groups(4.9％vs 8.0％,P＞0.05).The side branch dissection and final TIMI grade＜3 of side branch flow were independent risk factors for postop-erative MACE in elderly patients with bifurcation lesions after surgery(P＜0.05,P＜0.01).Conclusion Kaneka dual lumen microcatheter combined with anchored balloon technology via radial artery 6 F catheter has the advantages in effectively shorting operation time,minimizing X-ray exposure,reducing contrast agent usage,and diminishing the incidence of side branch dis-section in treatment of bifurcation lesions in elderly patients undergoing surgical treatment.
