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[Coronary angiography by transradial approach with 5F universal catheter]

Rui Lu1, Min Yao, Shu-bin Qiao

  • 1Department of Cardiology, Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical University, Beijing 100037, China.

Zhonghua Xin Xue Guan Bing Za Zhi
|June 1, 2005
PubMed

Insights

Transradial coronary angiography using a 5F universal catheter is safe and effective. The improved Terumo catheter demonstrated a higher success rate and shorter procedure times, making it a recommended option for this diagnostic procedure.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Diagnostic Imaging

Background:

  • The transradial approach (TRA) is increasingly utilized for coronary angiography due to its benefits.
  • Optimizing catheter selection is crucial for procedural success and patient outcomes in TRA.

Purpose of the Study:

  • To evaluate the efficacy and feasibility of using a 5F universal catheter for transradial coronary angiography.
  • To compare the performance of different 5F universal catheter types in terms of success rate, procedure duration, and fluoroscopy time.

Main Methods:

  • A prospective study involving 3094 patients undergoing transradial coronary angiography.
  • Patients were categorized into three groups based on the 5F catheter used: improved Terumo, standard Terumo, and Medtronic.
  • Key procedural outcomes including success rate, operation time, and fluoroscopy duration were analyzed and compared.

Main Results:

  • The overall procedure success rate was high across all groups, exceeding 96%.
  • The improved Terumo catheter group exhibited a significantly higher success rate (98.4%) compared to the Medtronic group (96.0%).
  • Procedural and fluoroscopy times were significantly shorter in the improved Terumo group compared to the Medtronic group.

Conclusions:

  • Transradial coronary angiography with small-diameter universal catheters is a safe, effective, and easily performed procedure.
  • Catheter choice significantly impacts the safety, efficacy, and quality of transradial coronary angiography.
  • The improved Terumo 5F catheter shows excellent performance and warrants wider adoption.
Abstract

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