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A single transradial guiding catheter for right and left coronary angiography and intervention

Ali A Youssef1, Yuan-Kai Hsieh, Cheng-I Cheng

  • 1Cardiology Department, Suez Canal University Hospital, Ismailia, Egypt.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
|September 9, 2009
PubMed

Insights

The Ikari left 3.5 guiding catheter enables single-catheter transradial coronary angiography and intervention. This approach is feasible and safe for both right and left coronary procedures.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Devices

Background:

  • Transradial access is a preferred approach for coronary procedures.
  • Limited data exists on using a single guiding catheter for both diagnostic and interventional coronary angiography.

Purpose of the Study:

  • To evaluate the feasibility and safety of the 6Fr Ikari left (IL) 3.5 guiding catheter for routine transradial coronary angiography and intervention.
  • To assess its utility for both right and left coronary access in a single procedure.

Main Methods:

  • Prospective, single-centre study of 621 patients undergoing transradial coronary angiography with ad hoc intervention.
  • Utilized the 6Fr Ikari left (IL) 3.5 guiding catheter for all cases.
  • Recorded procedural success rates, times, fluoroscopy duration, and contrast volumes.

Main Results:

  • Successful radial artery access in 96.8% of patients.
  • Successful engagement of right and left coronaries in 98.1% of cases.
  • High device success rate (96.6%) and overall procedure success (98.2%).
  • Low complication rates: 0.16% radial artery spasm, 0.48% RCA dissection.

Conclusions:

  • The IL 3.5 guiding catheter is effective as a single catheter for transradial right and left coronary angiography and intervention.
  • This approach demonstrates feasibility and high success rates with a favorable safety profile.
Abstract

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