Limits...
A case of sheathless transradial coronary intervention for complex coronary lesions with a standard guiding catheter.

Choi J, Suh J, Seo HS, Cho YH, Lee NH - Korean Circ J (2013)

Bottom Line: One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system.However, these devices are not available in the Republic of Korea.We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

ABSTRACT
One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system. However, these devices are not available in the Republic of Korea. We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

No MeSH data available.


Guiding catheter insertion for sheathless transradial coronary intervention. A: for easier insertion of the guiding catheter, a "pseudo-taper" was created by insertion of a 5 Fr, 120 cm Heartrail catheter into and through the 7 Fr XB 3.5 guiding catheter. B: after removal of the 5 Fr introducer sheath, both catheters were inserted through the skin into the radial artery. C: both catheters were advanced to the aortic root (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3675311&req=5

Figure 2: Guiding catheter insertion for sheathless transradial coronary intervention. A: for easier insertion of the guiding catheter, a "pseudo-taper" was created by insertion of a 5 Fr, 120 cm Heartrail catheter into and through the 7 Fr XB 3.5 guiding catheter. B: after removal of the 5 Fr introducer sheath, both catheters were inserted through the skin into the radial artery. C: both catheters were advanced to the aortic root (arrows).

Mentions: Following, we inserted the Heartrail catheter (Terumo®, Tokyo, Japan) into the 7 Fr XB 3.5 guiding catheter (Cordis®, Miami, FL, USA) (Fig. 2A). Both catheters were inserted sequentially through the skin into the radial artery (Fig. 2B), and advanced to the aortic root along the 0.035-inch wire (Fig. 2C). Finally, 7 Fr XB 3.5 guiding catheter was successfully engaged into the LCA.


A case of sheathless transradial coronary intervention for complex coronary lesions with a standard guiding catheter.

Choi J, Suh J, Seo HS, Cho YH, Lee NH - Korean Circ J (2013)

Guiding catheter insertion for sheathless transradial coronary intervention. A: for easier insertion of the guiding catheter, a "pseudo-taper" was created by insertion of a 5 Fr, 120 cm Heartrail catheter into and through the 7 Fr XB 3.5 guiding catheter. B: after removal of the 5 Fr introducer sheath, both catheters were inserted through the skin into the radial artery. C: both catheters were advanced to the aortic root (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3675311&req=5

Figure 2: Guiding catheter insertion for sheathless transradial coronary intervention. A: for easier insertion of the guiding catheter, a "pseudo-taper" was created by insertion of a 5 Fr, 120 cm Heartrail catheter into and through the 7 Fr XB 3.5 guiding catheter. B: after removal of the 5 Fr introducer sheath, both catheters were inserted through the skin into the radial artery. C: both catheters were advanced to the aortic root (arrows).
Mentions: Following, we inserted the Heartrail catheter (Terumo®, Tokyo, Japan) into the 7 Fr XB 3.5 guiding catheter (Cordis®, Miami, FL, USA) (Fig. 2A). Both catheters were inserted sequentially through the skin into the radial artery (Fig. 2B), and advanced to the aortic root along the 0.035-inch wire (Fig. 2C). Finally, 7 Fr XB 3.5 guiding catheter was successfully engaged into the LCA.

Bottom Line: One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system.However, these devices are not available in the Republic of Korea.We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

ABSTRACT
One of the major limitations of transradial coronary intervention is the inability to use large guiding system, which leads to the development of dedicated sheathless guide catheter system. However, these devices are not available in the Republic of Korea. We present a case in which conventional guiding catheter was used for sheathless transradial coronary intervention in the treatment of complex coronary anatomy.

No MeSH data available.