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Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

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Complex transradial percutaneous coronary intervention using a sheathless guide catheter.

Scott A Harding¹, Nadim Shah, Natalie Briggs

¹Department of Cardiology, Wellington Hospital, Wellington, New Zealand. Scott.Harding@ccdhb.org.nz

Heart, Lung & Circulation

|December 25, 2012

Summary

The Sheathless Eaucath enables complex transradial percutaneous coronary intervention (PCI) with high success and safety. This sheathless guiding catheter approach minimizes radial artery trauma for PCI procedures.

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Area of Science:

Cardiology
Interventional Cardiology
Vascular Access

Background:

Radial access for percutaneous coronary intervention (PCI) offers benefits like reduced complications and improved patient outcomes.
Sheathless guiding catheters may further minimize radial artery trauma during transradial PCI.
The Sheathless Eaucath is a novel device designed for transradial PCI.

Purpose of the Study:

To evaluate the initial clinical experience and outcomes of using the Sheathless Eaucath for transradial PCI.
To assess the safety and efficacy of the Sheathless Eaucath in a diverse patient population.

Main Methods:

Retrospective evaluation of consecutive patients undergoing PCI with the Sheathless Eaucath.
Procedures performed between February 2009 and November 2011 via radial artery access.
No exclusion criteria were applied to the patient cohort.

Main Results:

120 patients included, 72.5% presenting with acute coronary syndromes.
High success rate (97.5%) in treating complex lesions (68% type B2/C), including bifurcations and chronic total occlusions.
Low rates of peri-procedural myocardial infarction (3.3%), radial artery occlusion (2.3%), and vascular complications.

Conclusions:

The Sheathless Eaucath is a safe and effective device for complex transradial PCI.
This approach facilitates high procedural success rates while maintaining a favorable safety profile.
The sheathless technology shows promise for expanding the utility of transradial access.