Percutaneous treatment of acute axillary artery occlusion after percutaneous coronary intervention: A case report
Akihiro Umeno1, Shigeyasu Tsuda1
1Division of Cardiology Kita-Harima Medical Center Ono city Japan.
Clinical Case Reports
|June 17, 2021
Insights
The JR guide catheter offers good operability. However, careful guide catheter selection is crucial for radial artery approaches in patients with severe vessel tortuosity, particularly older women or those with hypertension.
Area of Science:
- Interventional Cardiology
- Vascular Access Techniques
Background:
- The JR guide catheter is frequently chosen for its ease of use in interventional procedures.
- Radial artery access is a common approach for cardiac interventions.
Observation:
- Severe vessel tortuosity presents unique challenges during radial artery catheterization.
- Certain patient demographics, including older females and those with hypertension, may experience increased procedural difficulty.
Findings:
- While the JR guide catheter is generally operable, its suitability may be compromised in cases of significant vessel tortuosity.
- Enhanced vigilance regarding guide catheter choice is necessary for complex radial access cases.
Implications:
- Optimizing guide catheter selection can improve procedural success rates in challenging radial approaches.
- Further research may be warranted to identify ideal catheters for specific patient populations and anatomies.
- This highlights the importance of tailored device selection in interventional cardiology.
Abstract:
The JR guide catheter is preferred for operability; however, we should pay more attention to the guide catheter in the case of radial artery approach with severe vessel tortuosity especially in patients with hypertension or in older female patients.
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