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[Percutaneous femoral artery coronary arteriography. 300 consecutive cases with French 5 catheters]
1Service d'explorations fonctionnelles cardiovasculaires, Hôpital Valère-Lefebvre, Le Raincy.
Insights
Using smaller 5 French catheters for coronary arteriography reduces patient morbidity and simplifies the procedure. This approach is safe and effective for most patients, allowing for quicker recovery and shorter hospital stays.
Area of Science:
- Cardiology
- Interventional Cardiology
Context:
- Coronary angioplasty is increasingly common, necessitating safer and more efficient diagnostic procedures.
- Reducing patient morbidity associated with coronary arteriography is an ethical and functional imperative.
Purpose:
- To evaluate the feasibility and safety of using 5 French catheters for coronary arteriography.
- To determine if smaller caliber catheters can simplify the procedure without compromising outcomes.
Summary:
- 300 coronary arteriographies were performed using 5 French catheters.
- A low failure rate (4%) and minimal complications (0.7%) were observed, including one case of subacute femoral thrombosis and one regressive cerebral vascular accident.
- The study suggests 5 French catheters are a safe and convenient alternative to larger catheters.
Impact:
- 5 French catheters enable all coronary arteriographies to be performed more conveniently.
- The femoral route with 5 French catheters allows for ambulatory procedures with patients ambulating 4 hours post-procedure.
- This advancement contributes to reduced patient recovery times and hospital resource utilization.
Abstract:
Owing to the ever growing practice of coronary angioplasty, each patient is subjected to multiple examinations and it has become imperative, both for ethical and functional reasons, to reduce the morbidity of coronary arteriography. For this purpose, reduction in the caliber of catheters is a step forward which must be made without altering the procedure and even while making it simpler (shorter stay in bed and in hospital). Between april, 1986 and january, 1987, 300 consecutive coronary arteriographies were performed in a uniform manner and using 5 French catheters in 239 men (mean age 55.4 years) and 61 women (mean age 60.3 years). There were 13 "failures" (4 p. 100) in the sense that the examination was pursued with conventional 7 F or 8 F catheters, or that the brachial route was used. Bilateral femoral puncture was necessary in 6 cases (2 p. 100), and 2 complications (0.7 p. 100) were observed: subacute femoral thrombosis in one case, and regressive cerebral vascular accident in another patient. Thus, it seems permissible and more convenient nowadays to perform all coronary arteriographies with a 5 French catheter. The femoral route can be used in ambulatory patients who get up 4 hours after the procedure.