Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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A Case of Sheathless Transradial Coronary Intervention for Complex Coronary Lesions with a Standard Guiding Catheter

  • Choi, Jaehuk (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine) ;
  • Suh, Jon (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine) ;
  • Seo, Hye-Sun (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine) ;
  • Cho, Yoon Haeng (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Nae Hee (Division of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine)
  • Published : 2013.05.30
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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.

Keywords

References

  1. Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and metaanalysis of randomized trials. Am Heart J 2009;157:132-40. https://doi.org/10.1016/j.ahj.2008.08.023
  2. Agostoni P, Biondi-Zoccai GG, de Benedictis ML, et al. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; systematic overview and meta-analysis of randomized trials. J Am Coll Cardiol 2004;44:349-56. https://doi.org/10.1016/j.jacc.2004.04.034
  3. Saito S, Ikei H, Hosokawa G, Tanaka S. Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheter Cardiovasc Interv 1999;46:173-8. https://doi.org/10.1002/(SICI)1522-726X(199902)46:2<173::AID-CCD12>3.0.CO;2-4
  4. Yoo BS, Yoon J, Ko JY, et al. Anatomical consideration of the radial artery for transradial coronary procedures: arterial diameter, branching anomaly and vessel tortuosity. Int J Cardiol 2005;101:421-7. https://doi.org/10.1016/j.ijcard.2004.03.061
  5. Dahm JB, Vogelgesang D, Hummel A, Staudt A, Volzke H, Felix SB. A randomized trial of 5 vs. 6 French transradial percutaneous coronary interventions. Catheter Cardiovasc Interv 2002;57:172-6. https://doi.org/10.1002/ccd.10321
  6. Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken R. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study. J Am Coll Cardiol 1997;29:1269-75. https://doi.org/10.1016/S0735-1097(97)00064-8
  7. Sakai H, Ikeda S, Harada T, et al. Limitations of successive transradial approach in the same arm: the Japanese experience. Catheter Cardiovasc Interv 2001;54:204-8. https://doi.org/10.1002/ccd.1268
  8. Cogliano MA, Tolerico PH. Nonhealing wound resulting from a foreign body to a radial arterial sheath and sterile inflammation associated with transradial catheterization and hydrophilic sheaths. Catheter Cardiovasc Interv 2004;63:104-5.
  9. Kozak M, Adams DR, Ioffreda MD, et al. Sterile inflammation associated with transradial catheterization and hydrophilic sheaths. Catheter Cardiovasc Interv 2003;59:207-13. https://doi.org/10.1002/ccd.10522
  10. Mamas MA, Fath-Ordoubadi F, Fraser DG. Atraumatic complex transradial intervention using large bore sheathless guide catheter. Catheter Cardiovasc Interv 2008;72:357-64. https://doi.org/10.1002/ccd.21637
  11. Liang M, Puri A, Linder R. Transradial simultaneous kissing stenting (SKS) with SheathLess access. Catheter Cardiovasc Interv 2010;75:222-4. https://doi.org/10.1002/ccd.22236
  12. Youn YJ, Yoon J, Han SW, et al. Feasibility of transradial coronary intervention using a sheathless guiding catheter in patients with small radial artery. Korean Circ J 2011;41:143-8. https://doi.org/10.4070/kcj.2011.41.3.143