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Comparison of transradial coronary intervention for left main bifurcation disease using the new Braidin® slender 7 Fr
Yingkai Xu1, Yingkai Li2, Jiancai Yu2
1Department of Cardiology, 12th Ward, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, Beijing Key Laboratory of Precision Medicine of Coronary Atherosclerotic Disease, Clinical Center for Coronary Heart Disease, Capital Medical University, Beijing, China.
Insights
The Braidin slender 7 Fr sheath offers a more efficient procedure for left main bifurcation disease compared to the standard 6 Fr sheath, with comparable radial artery safety. This transradial approach shows promise for improved percutaneous coronary intervention outcomes.
Area of Science:
- Interventional Cardiology
- Vascular Access Devices
Background:
- Left main bifurcation disease requires complex percutaneous coronary intervention (PCI).
- Transradial approach (TRA) is a common PCI strategy.
- Sheath size can impact procedural efficiency and safety.
Purpose of the Study:
- To compare the effectiveness and safety of the Braidin slender 7 Fr sheath versus a standard 6 Fr sheath.
- To evaluate outcomes in patients with left main bifurcation disease undergoing TRA-PCI.
Main Methods:
- A prospective study included 277 patients with left main bifurcation disease.
- Patients were treated via TRA using either a Braidin slender 7 Fr sheath (n=154) or a standard 6 Fr sheath (n=123).
- Outcomes assessed included procedural success, operative time, and radial artery complications.
Main Results:
- The Braidin slender 7 Fr sheath group showed a higher utilization of the classic crush technique.
- Operation time was significantly shorter in the slender 7 Fr sheath group.
- No significant difference in radial artery occlusion rates was observed between the groups.
Conclusions:
- The Braidin slender 7 Fr sheath demonstrates a superior operative process for left main bifurcation disease PCI.
- The slender 7 Fr sheath offers comparable radial artery safety to the standard 6 Fr sheath.
- This suggests the Braidin slender 7 Fr sheath is a safe and effective alternative for TRA-PCI in complex coronary lesions.
Objectives:
To compare the effectiveness and safety of the Braidin® slender 7 Fr sheath with a standard 6 Fr sheath for treating left main bifurcation disease.
Methods:
From January 2017 to March 2019, 277 patients with left main bifurcation disease who underwent the transradial approach for percutaneous coronary intervention were divided into the slender 7 Fr sheath group (Braidin® slender 7 Fr sheath, n = 154) and standard 6 Fr sheath group (n = 123). Pathological features, surgical effect, and complications were evaluated.
Results:
The rate of using the classic crush technique was significantly higher in the slender 7 Fr sheath group than in the standard 6 Fr sheath group. The slender 7 Fr sheath group had a significantly shorter operation time than the standard 6 Fr sheath group. There were no significant differences in the radial artery occlusion rate after surgery and at 1 month of follow-up between the groups. Multivariate logistic regression analysis showed that 6 Fr and Braidin slender 7 Fr sheaths did not predict radial artery occlusion.
Conclusion:
The Braidin slender 7 Fr sheath has a superior operative process and similar safety for the radial artery as that of the standard 6 Fr sheath for treating left main bifurcation disease.
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