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Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach

BACKGROUND AND OBJECTIVES: Feasibility of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via left snuffbox approach is still concerned. We aimed to investigate efficacy and safety of the left snuffbox approach for CAG and PCI. METHODS: Left snuffbox approach was tried in 150...

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Autores principales: Kim, Yongcheol, Ahn, Youngkeun, Kim, Inna, Lee, Doo Hwan, Kim, Min Chul, Sim, Doo Sun, Hong, Young Joon, Kim, Ju Han, Jeong, Myung Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221867/
https://www.ncbi.nlm.nih.gov/pubmed/30088362
http://dx.doi.org/10.4070/kcj.2018.0181
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author Kim, Yongcheol
Ahn, Youngkeun
Kim, Inna
Lee, Doo Hwan
Kim, Min Chul
Sim, Doo Sun
Hong, Young Joon
Kim, Ju Han
Jeong, Myung Ho
author_facet Kim, Yongcheol
Ahn, Youngkeun
Kim, Inna
Lee, Doo Hwan
Kim, Min Chul
Sim, Doo Sun
Hong, Young Joon
Kim, Ju Han
Jeong, Myung Ho
author_sort Kim, Yongcheol
collection PubMed
description BACKGROUND AND OBJECTIVES: Feasibility of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via left snuffbox approach is still concerned. We aimed to investigate efficacy and safety of the left snuffbox approach for CAG and PCI. METHODS: Left snuffbox approach was tried in 150 patients who planned to perform CAG or PCI for suspected myocardial ischemia between 1 November 2017 and 31 March 2018. RESULTS: Success rate of radial artery (RA) cannulation via snuffbox approach was 88.0% (n=132). Among 132 individuals, 58 (43.9%) acute coronary syndrome (ACS) patients were included. The diameter of snuffbox RA was significantly smaller than conventional RA (2.57 mm vs. 2.72 mm, p<0.001) from quantitative computed angiography of 101 patients. However, CAG via snuffbox approach by 6 French sheath was successfully performed in all 132 patients. In addition, there was significant correlation between the snuffbox and conventional RA diameter (r=0.856, p<0.001). In 42 PCI cases, including 25 patients with acute myocardial infarction (AMI), the success rate of PCI via snuffbox approach was 97.6% (n=41). Intravascular imaging-guided PCI was performed in 8 (19.5%) patients and multi-vessel PCI in 4 (9.8%) cases. Regarding vascular complication, forearm swelling with bruising, not requiring surgery or transfusion, occurred in 2 (4.9%) PCI cases. CONCLUSIONS: Left snuffbox approach is suitable for CAG and PCI compared with the conventional radial approach.
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spelling pubmed-62218672018-12-01 Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach Kim, Yongcheol Ahn, Youngkeun Kim, Inna Lee, Doo Hwan Kim, Min Chul Sim, Doo Sun Hong, Young Joon Kim, Ju Han Jeong, Myung Ho Korean Circ J Original Article BACKGROUND AND OBJECTIVES: Feasibility of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via left snuffbox approach is still concerned. We aimed to investigate efficacy and safety of the left snuffbox approach for CAG and PCI. METHODS: Left snuffbox approach was tried in 150 patients who planned to perform CAG or PCI for suspected myocardial ischemia between 1 November 2017 and 31 March 2018. RESULTS: Success rate of radial artery (RA) cannulation via snuffbox approach was 88.0% (n=132). Among 132 individuals, 58 (43.9%) acute coronary syndrome (ACS) patients were included. The diameter of snuffbox RA was significantly smaller than conventional RA (2.57 mm vs. 2.72 mm, p<0.001) from quantitative computed angiography of 101 patients. However, CAG via snuffbox approach by 6 French sheath was successfully performed in all 132 patients. In addition, there was significant correlation between the snuffbox and conventional RA diameter (r=0.856, p<0.001). In 42 PCI cases, including 25 patients with acute myocardial infarction (AMI), the success rate of PCI via snuffbox approach was 97.6% (n=41). Intravascular imaging-guided PCI was performed in 8 (19.5%) patients and multi-vessel PCI in 4 (9.8%) cases. Regarding vascular complication, forearm swelling with bruising, not requiring surgery or transfusion, occurred in 2 (4.9%) PCI cases. CONCLUSIONS: Left snuffbox approach is suitable for CAG and PCI compared with the conventional radial approach. The Korean Society of Cardiology 2018-08-06 /pmc/articles/PMC6221867/ /pubmed/30088362 http://dx.doi.org/10.4070/kcj.2018.0181 Text en Copyright © 2018. The Korean Society of Cardiology https://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Yongcheol
Ahn, Youngkeun
Kim, Inna
Lee, Doo Hwan
Kim, Min Chul
Sim, Doo Sun
Hong, Young Joon
Kim, Ju Han
Jeong, Myung Ho
Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
title Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
title_full Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
title_fullStr Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
title_full_unstemmed Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
title_short Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
title_sort feasibility of coronary angiography and percutaneous coronary intervention via left snuffbox approach
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221867/
https://www.ncbi.nlm.nih.gov/pubmed/30088362
http://dx.doi.org/10.4070/kcj.2018.0181
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