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Slender PCI via Transradial Approach

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Abstract

The less invasive radial access for percutaneous coronary intervention (PCI) has gained the favour of interventionists for its advantage in reducing access site complications, improving patient comfort and reducing mortality. However, due to the smaller diameters of radial artery, the catheter size is therefore too large for some patients, which makes this technique painful, cumbersome and sometimes unsafe, also sets a limitation for complex PCI. In addition, radial artery occlusion (RAO) is more common when guides are large in comparison to the radial artery. This led to the development of series of downsized equipment and corresponding techniques to overcome this problem, which was so called “Slender” for this new approach.

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References

  1. Chase AJ, Fretz EB, Warburton WP, et al. Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg). Heart. 2008;94:1019–25.

    Article  CAS  PubMed  Google Scholar 

  2. Jolly SS, Yusuf S, Cairns J, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011;377:1409–20.

    Article  PubMed  Google Scholar 

  3. Hamon M, Pristipino C, Di Mario C, et al. Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology. EuroIntervention J EuroPCR Collaboration Working Group Interv Cardiol Eur Soc Cardiol. 2013;8:1242–51.

    Article  Google Scholar 

  4. Rao SV, Tremmel JA, Gilchrist IC, et al. Best practices for transradial angiography and intervention: a consensus statement from the society for cardiovascular angiography and intervention’s transradial working group. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2014;83:228–36.

    Article  Google Scholar 

  5. 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 Off J Soc Cardiac Angiography Interv. 1999;46:173–8.

    Article  CAS  Google Scholar 

  6. Kiemeneij F, Yoshimachi F, Matsukage T, et al. Focus on maximal miniaturisation of transradial coronary access materials and techniques by the Slender Club Japan and Europe: an overview and classification. EuroIntervention J EuroPCR Collaboration Working Group Interv Cardiol Eur Soc Cardiol. 2015;10:1178–86.

    Article  Google Scholar 

  7. Amoroso G, van Dullemen A, Westgeest P, van Duinen M. “Virtual” 3 Fr transradial coronary stenting with the 5 Fr Meito Masamune sheathless guiding catheter: feasibility and safety in an outpatient setting. J Invasive Cardiol. 2016;28:109–14.

    PubMed  Google Scholar 

  8. Tonomura D, Shimada Y, Yano K, et al. Feasibility and safety of a virtual 3-Fr sheathless-guiding system for percutaneous coronary intervention. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2014;84:426–35.

    Article  Google Scholar 

  9. Takeshita S, Asano H, Hata T, et al. Comparison of frequency of radial artery occlusion after 4Fr versus 6Fr transradial coronary intervention (from the Novel Angioplasty USIng Coronary Accessor Trial). Am J Cardiol. 2014;113:1986–9.

    Article  PubMed  Google Scholar 

  10. Hamood H, Makhoul N, Grenadir E, Kusniec F, Rosenschein U. Anchor wire technique improves device deliverability during PCI of CTOs and other complex subsets. Acute Card Care. 2006;8:139–42.

    Article  PubMed  Google Scholar 

  11. Fujita S, Tamai H, Kyo E, et al. New technique for superior guiding catheter support during advancement of a balloon in coronary angioplasty: the anchor technique. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2003;59:482–8.

    Article  Google Scholar 

  12. Takahashi S, Saito S, Tanaka S, et al. New method to increase a backup support of a 6 French guiding coronary catheter. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2004;63:452–6.

    Article  Google Scholar 

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Correspondence to Ferdinand Kiemeneij MD, PhD .

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Kiemeneij, F., Saito, S., Liu, W. (2017). Slender PCI via Transradial Approach. In: Zhou, Y., Kiemeneij, F., Saito, S., Liu, W. (eds) Transradial Approach for Percutaneous Interventions. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7350-8_22

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  • DOI: https://doi.org/10.1007/978-94-017-7350-8_22

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-7349-2

  • Online ISBN: 978-94-017-7350-8

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