Balloon-assisted sheathless transradial intervention (BASTI) using 5 Fr guiding catheters

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Access

Background:

• Sheathless transradial percutaneous coronary intervention (PCI) is gaining popularity but faces technical challenges and equipment limitations in the US.
• The balloon-assisted sheathless transradial intervention (BASTI) is a novel approach designed to overcome these limitations.
• BASTI aims to facilitate the use of 5 Fr sheathless guiding catheters and reduce complication rates during PCI.

Purpose of the Study:

• To evaluate the feasibility and safety of the balloon-assisted sheathless transradial intervention (BASTI) method.
• To assess the efficacy of BASTI in reducing vascular access-site complications during PCI.
• To determine the impact of BASTI on patient morbidity and cost-effectiveness.

Main Methods:

• Twenty-seven consecutive patients undergoing elective PCI were enrolled in the study.
• Radial artery access was achieved using the BASTI technique, involving balloon inflation to facilitate catheter insertion.
• Patients were followed for 30 days, monitoring for major adverse cardiac events and access-site complications like radial artery occlusion (RAO).

Main Results:

• The BASTI method was successfully applied in all 27 patients (100% success rate).
• No difficulties were encountered in obtaining radial artery access with the 5 Fr sheathless guiding catheter.
• No adverse events or procedure-related complications were observed during the follow-up period.

Conclusions:

• BASTI is a feasible and effective alternative to conventional transradial PCI techniques.
• This approach has the potential to decrease vascular access-site complications and improve patient outcomes.
• BASTI offers a cost-effective solution for interventional cardiology procedures.