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Comparison of procedural success between two radial sheaths : Comparison of the 6-Fr Glidesheath Slender to 6-Fr

B Gul1, M Stolar2, B Stair1

  • 1Division of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, 789 Howard Ave Dana 3rd floor, 06519, New Haven, CT, USA.

Herz
|May 17, 2018
PubMed

Insights

The 6-Fr Glidesheath Slender and standard sheath show similar success rates for transradial coronary angiography. Patient factors influencing procedural failure differ between the two sheath types.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Access

Background:

  • Radial artery spasm is a common cause of procedural failure in transradial cardiac catheterization.
  • Evaluating alternative sheath designs is crucial for improving procedural outcomes.

Purpose of the Study:

  • To compare the procedural success rates of the 6-Fr Glidesheath Slender and a 6-Fr standard sheath.
  • To assess the incidence of radial artery spasm with each sheath type during transradial procedures.

Main Methods:

  • Prospective enrollment of patients undergoing transradial coronary angiography.
  • Comparison of procedural success and spasm rates between the Glidesheath Slender and standard sheath groups.

Main Results:

  • No significant difference in procedural failure rates between the Glidesheath Slender (10.5%) and standard sheath (8.9%) groups.
  • Higher, though not statistically significant, rates of spasm observed with the Glidesheath Slender (7.9%) versus the standard sheath (5.7%).
  • Different patient characteristics influenced procedural outcomes depending on the sheath used.

Conclusions:

  • Procedural success rates are comparable between the 6-Fr Glidesheath Slender and standard sheath for transradial access.
  • Patient-specific risk factors for procedural failure may vary between the two sheath types.
Abstract

Keywords:
AngiographyAngioplastyCatheterizationPercutaneous coronary interventionRadial artery

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