5-Fr sheathless transradial cardiac catheterization using conventional catheters and balloon assisted tracking; a new approach to downsizing

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• 作者：Mamas A. Mamas^a ; ^b ; ^{mamasmamas1@yahoo.co.uk} ; Sudhakar George^b ; Karim Ratib^b ; Chun Shing Kwok^a ; ^b ; Abdelnasir Elkhazin^b ; Kully Sandhu^b ; Julie Stubbs^b ; Pamela Luxford^b ; James Nolan^a ; ^b
• 关键词：Transradial catheterization ; Sheathless ; Percutaneous coronary intervention ; Balloon assisted tracking
• 刊名：Cardiovascular Revascularization Medicine
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：18
• 期：1
• 页码：28-32
• 全文大小：498 K
• 卷排序：18

文摘

Transradial catheterization is associated with radial injury and there is a move to downsizing procedures to minimize complications. For the first time in the literature, we report a feasibility study of a sheathless technique that enables both 5Fr diagnostic and PCI cases using balloon assisted tracking (BAT) technique. This technique was prospectively performed in 60 consecutive patients using conventional catheters. The procedure was successfully performed via the radial artery using a sheathless technique with BAT in 93.3% of patients. All patients had a patent radial artery following removal of the Helix device and there were no recorded access site complications. We have shown that our virtual 3Fr sheathless technique using BAT is feasible with success rates of >90%.