Feasibility of Transradial Coronary Angiography and Intervention Using a Single Ikari Left Guiding Catheter for ST Elevation Myocardial Infarction
| Autor: | Kok Soon Tan, Jayaram Lingamanaicker, Chong Hiok Tan, Aung Soe Tin, Jeremy Chow, Yew Seong Goh, Vern Hsen Tan, Sea Hing Ong, Hwa Wooi Gan |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Intention-to-treat analysis business.industry Retrospective cohort study Catheter St elevation myocardial infarction medicine.artery Internal medicine medicine Cardiology Guiding catheter Radiology Nuclear Medicine and imaging Radial artery Cardiology and Cardiovascular Medicine business Perfusion Mace |
| Zdroj: | Journal of Interventional Cardiology. 25:235-244 |
| ISSN: | 0896-4327 |
| Popis: | Background Transradial coronary intervention (TRI) has been widely adopted in ST elevation myocardial infarction (STEMI) patients but there is limited literature on the use of a single catheter for both diagnostic angiography and intervention. We aim to evaluate the feasibility and outcomes of TRI with a single Ikari left (IL) guiding catheter in STEMI patients. Methods This is a retrospective study of 362 consecutive STEMI patients from August 2007 to December 2008. We assessed the feasibility of TRI with a single IL and compared this strategy with conventional transfemoral intervention (TFI) on the following outcomes: (1) door to perfusion time, (2) total procedural duration, (3) total fluoroscopy duration, and (4) major adverse cardiac events (MACE) by intention to treat analysis. Results TRI was attempted in 185 patients. There were no failed radial cannulations. Overall success rate of primary TRI with a single IL was 96.9% and there were only 2 failures that required conversion to TFI. Compared to TFI, TRI with IL tended to a shorter median door to perfusion time, 90 (IQR 76.0 - 119.5) versus 98 (IQR 80.8 - 120.5) minutes (P = 0.07) and a shorter median procedure duration of 34 (IQR 27.0 - 45.0) versus 37 (IQR 28.0 - 49.3) minutes (P = 0.06). The median fluoroscopy duration was longer in the TRI group. MACE were comparable between the 2 groups. Conclusion In experienced centers, TRI with a single IL catheter for STEMI is a feasible and effective approach and outcomes are comparable to conventional TFI. |
| Databáze: | OpenAIRE |
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