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Efficacy of a one-catheter concept for transradial coronary angiography

INTRODUCTION: Transradial coronary angiography (TRC) can be performed with a one-catheter approach for the right and left coronary ostium (R/LCO). We investigated the performance of a special diagnostic catheter widely used for the one-catheter-approach, the Tiger (Tiger II, Terumo(TM)). METHODS: In...

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Autores principales: Langer, Christoph, Riehle, Julia, Wuttig, Helge, Dürrwald, Stephanie, Lange, Helmut, Samol, Alexander, Frey, Norbert, Wiemer, Marcus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749733/
https://www.ncbi.nlm.nih.gov/pubmed/29293533
http://dx.doi.org/10.1371/journal.pone.0189899
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author Langer, Christoph
Riehle, Julia
Wuttig, Helge
Dürrwald, Stephanie
Lange, Helmut
Samol, Alexander
Frey, Norbert
Wiemer, Marcus
author_facet Langer, Christoph
Riehle, Julia
Wuttig, Helge
Dürrwald, Stephanie
Lange, Helmut
Samol, Alexander
Frey, Norbert
Wiemer, Marcus
author_sort Langer, Christoph
collection PubMed
description INTRODUCTION: Transradial coronary angiography (TRC) can be performed with a one-catheter approach for the right and left coronary ostium (R/LCO). We investigated the performance of a special diagnostic catheter widely used for the one-catheter-approach, the Tiger (Tiger II, Terumo(TM)). METHODS: In a dual center registry we analyzed 1412 TRC-procedures exclusively performed by experienced TRC-operators. We compared the performance of the Tiger with Judkins catheters by retrospectively judging ostial catheter stability during contrast injection, and by measuring contrast use, fluoroscopy time (FT) and complication rate. RESULTS: Poor or failed ostial engagement was found in 40.5% in the Tiger group, compared to 46.6% with the use of Judkins catheters (p<0.183). Ostial instability of the Tiger was found more often during engagement of the LCO than the RCO (34.4% vs. 10.8%, p<0.001), whereas it was similar in the LCO and RCO for Judkins catheters (27.4% vs. 26.7%, p = 0.840). TRC-procedures performed with Tiger catheters were associated with less contrast volume (63.48 ± 29.83mL vs. 82.51 ± 56.58mL, p<0.004) and shorter FT than with Judkins catheters. (198.27 ± 194.8sec vs. 326.85 ± 329.70sec). Forearm hematomas occurred less often with the Tiger (1.2% vs. 6.6%, p< 0.02). CONCLUSION: The Tiger employed as a single catheter in TRC is an effective tool to achieve lower contrast volume and fluoroscopy time at a low complication rate. Unstable engagement affects predominantly the left coronary artery, but its overall frequency is similar for both, the Tiger and Judkins catheters.
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spelling pubmed-57497332018-01-26 Efficacy of a one-catheter concept for transradial coronary angiography Langer, Christoph Riehle, Julia Wuttig, Helge Dürrwald, Stephanie Lange, Helmut Samol, Alexander Frey, Norbert Wiemer, Marcus PLoS One Research Article INTRODUCTION: Transradial coronary angiography (TRC) can be performed with a one-catheter approach for the right and left coronary ostium (R/LCO). We investigated the performance of a special diagnostic catheter widely used for the one-catheter-approach, the Tiger (Tiger II, Terumo(TM)). METHODS: In a dual center registry we analyzed 1412 TRC-procedures exclusively performed by experienced TRC-operators. We compared the performance of the Tiger with Judkins catheters by retrospectively judging ostial catheter stability during contrast injection, and by measuring contrast use, fluoroscopy time (FT) and complication rate. RESULTS: Poor or failed ostial engagement was found in 40.5% in the Tiger group, compared to 46.6% with the use of Judkins catheters (p<0.183). Ostial instability of the Tiger was found more often during engagement of the LCO than the RCO (34.4% vs. 10.8%, p<0.001), whereas it was similar in the LCO and RCO for Judkins catheters (27.4% vs. 26.7%, p = 0.840). TRC-procedures performed with Tiger catheters were associated with less contrast volume (63.48 ± 29.83mL vs. 82.51 ± 56.58mL, p<0.004) and shorter FT than with Judkins catheters. (198.27 ± 194.8sec vs. 326.85 ± 329.70sec). Forearm hematomas occurred less often with the Tiger (1.2% vs. 6.6%, p< 0.02). CONCLUSION: The Tiger employed as a single catheter in TRC is an effective tool to achieve lower contrast volume and fluoroscopy time at a low complication rate. Unstable engagement affects predominantly the left coronary artery, but its overall frequency is similar for both, the Tiger and Judkins catheters. Public Library of Science 2018-01-02 /pmc/articles/PMC5749733/ /pubmed/29293533 http://dx.doi.org/10.1371/journal.pone.0189899 Text en © 2018 Langer et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Langer, Christoph
Riehle, Julia
Wuttig, Helge
Dürrwald, Stephanie
Lange, Helmut
Samol, Alexander
Frey, Norbert
Wiemer, Marcus
Efficacy of a one-catheter concept for transradial coronary angiography
title Efficacy of a one-catheter concept for transradial coronary angiography
title_full Efficacy of a one-catheter concept for transradial coronary angiography
title_fullStr Efficacy of a one-catheter concept for transradial coronary angiography
title_full_unstemmed Efficacy of a one-catheter concept for transradial coronary angiography
title_short Efficacy of a one-catheter concept for transradial coronary angiography
title_sort efficacy of a one-catheter concept for transradial coronary angiography
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749733/
https://www.ncbi.nlm.nih.gov/pubmed/29293533
http://dx.doi.org/10.1371/journal.pone.0189899
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