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Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1

Transradial coronaro-angiography (TRA) can be performed with one catheter. We investigate the efficacy of four different DxTerity catheter curves dedicated to the single-catheter technique and compare this method to the standard two-catheter approach. For this prospective, single-blinded, randomized...

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Autores principales: Chyrchel, Michał, Bartuś, Stanisław, Dziewierz, Artur, Legutko, Jacek, Kleczyński, Paweł, Januszek, Rafał, Gallina, Tomasz, Chyrchel, Bernadeta, Surdacki, Andrzej, Rzeszutko, Łukasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8541157/
https://www.ncbi.nlm.nih.gov/pubmed/34682845
http://dx.doi.org/10.3390/jcm10204722
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author Chyrchel, Michał
Bartuś, Stanisław
Dziewierz, Artur
Legutko, Jacek
Kleczyński, Paweł
Januszek, Rafał
Gallina, Tomasz
Chyrchel, Bernadeta
Surdacki, Andrzej
Rzeszutko, Łukasz
author_facet Chyrchel, Michał
Bartuś, Stanisław
Dziewierz, Artur
Legutko, Jacek
Kleczyński, Paweł
Januszek, Rafał
Gallina, Tomasz
Chyrchel, Bernadeta
Surdacki, Andrzej
Rzeszutko, Łukasz
author_sort Chyrchel, Michał
collection PubMed
description Transradial coronaro-angiography (TRA) can be performed with one catheter. We investigate the efficacy of four different DxTerity catheter curves dedicated to the single-catheter technique and compare this method to the standard two-catheter approach. For this prospective, single-blinded, randomized pilot study, we enrolled 100 patients. In groups 1, 2, 3, and 4, the DxTerity catheters Trapease, Ultra, Transformer and Tracker Curve, respectively, were used. In group 5 (control), standard Judkins catheters were used. The study endpoints were the percentage of optimal stability, proper ostial artery engagement and a good quality angiogram, the duration of each procedure stage, the amount of contrast, and the radiation dose. The highest rate of optimal stability was observed in groups 2 (90%) and 5 (95%). Suboptimal results with at least one episode of catheter fallout from the ostium were most frequent in group 1 (45%). The necessity of using another catheter was observed most frequently in group 4. The analysis of time frames directly depending on the catheter type revealed that the shortest time for catheter introduction and for searching coronary ostia was achieved in group 2 (Ultra). There were no differences in contrast volume and radiation dose between groups. DxTerity catheters are suitable tools to perform TRA coronary angiography. The Ultra Curve catheter demonstrated an advantage over other catheters in terms of its ostial stability rate and procedural time.
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spelling pubmed-85411572021-10-24 Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1 Chyrchel, Michał Bartuś, Stanisław Dziewierz, Artur Legutko, Jacek Kleczyński, Paweł Januszek, Rafał Gallina, Tomasz Chyrchel, Bernadeta Surdacki, Andrzej Rzeszutko, Łukasz J Clin Med Article Transradial coronaro-angiography (TRA) can be performed with one catheter. We investigate the efficacy of four different DxTerity catheter curves dedicated to the single-catheter technique and compare this method to the standard two-catheter approach. For this prospective, single-blinded, randomized pilot study, we enrolled 100 patients. In groups 1, 2, 3, and 4, the DxTerity catheters Trapease, Ultra, Transformer and Tracker Curve, respectively, were used. In group 5 (control), standard Judkins catheters were used. The study endpoints were the percentage of optimal stability, proper ostial artery engagement and a good quality angiogram, the duration of each procedure stage, the amount of contrast, and the radiation dose. The highest rate of optimal stability was observed in groups 2 (90%) and 5 (95%). Suboptimal results with at least one episode of catheter fallout from the ostium were most frequent in group 1 (45%). The necessity of using another catheter was observed most frequently in group 4. The analysis of time frames directly depending on the catheter type revealed that the shortest time for catheter introduction and for searching coronary ostia was achieved in group 2 (Ultra). There were no differences in contrast volume and radiation dose between groups. DxTerity catheters are suitable tools to perform TRA coronary angiography. The Ultra Curve catheter demonstrated an advantage over other catheters in terms of its ostial stability rate and procedural time. MDPI 2021-10-14 /pmc/articles/PMC8541157/ /pubmed/34682845 http://dx.doi.org/10.3390/jcm10204722 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chyrchel, Michał
Bartuś, Stanisław
Dziewierz, Artur
Legutko, Jacek
Kleczyński, Paweł
Januszek, Rafał
Gallina, Tomasz
Chyrchel, Bernadeta
Surdacki, Andrzej
Rzeszutko, Łukasz
Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1
title Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1
title_full Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1
title_fullStr Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1
title_full_unstemmed Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1
title_short Safety and Efficacy of Four Different Diagnostic Catheter Curves Dedicated to One-Catheter Technique of Transradial Coronaro-Angiography—Prospective, Randomized Pilot Study. TRACT 1: Trans RAdial CoronaryAngiography Trial 1
title_sort safety and efficacy of four different diagnostic catheter curves dedicated to one-catheter technique of transradial coronaro-angiography—prospective, randomized pilot study. tract 1: trans radial coronaryangiography trial 1
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8541157/
https://www.ncbi.nlm.nih.gov/pubmed/34682845
http://dx.doi.org/10.3390/jcm10204722
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