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First Experience Using the Sheathless Hyperion Guiding Catheter System Designed for Direct Insertion.

Andrew Borrie¹, Sarah Fairley¹, Scott A Harding¹

¹Wellington Hospital, Wellington, New Zealand.

Journal of Interventional Cardiology

|March 14, 2022

Summary

This summary is machine-generated.

The new sheathless Hyperion guide catheter (SHGC) system enables safe and effective transradial procedures. This innovative approach facilitates complex percutaneous coronary interventions (PCI) with a high success rate, reducing radial trauma.

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Area of Science:

Cardiology
Interventional Cardiology
Vascular Access

Background:

Transradial percutaneous coronary intervention (PCI) aims to minimize radial artery trauma.
Sheathless guiding catheters offer potential advantages over traditional systems.
The sheathless Hyperion guide catheter (SHGC) system is a novel device for transradial access.

Purpose of the Study:

To evaluate the first clinical experience with the sheathless Hyperion guide catheter (SHGC) system.
To assess the safety and efficacy of the SHGC for transradial PCI.
To determine the feasibility of performing complex PCI using the SHGC.

Main Methods:

A prospective evaluation of consecutive patients undergoing PCI with radial access and the SHGC.
Data collected from June 2020 to June 2021, with no exclusion criteria.
Successful insertion of the SHGC in all attempted radial arteries (128/128).

Main Results:

The study included 120 patients; SHGC insertion was successful in all cases.
Coronary artery engagement was achieved in 98.4% of cases, treating 150 complex lesions.
High rates of angiographic success (99.2%) with low rates of periprocedural myocardial infarction (4.2%) and no major complications.

Conclusions:

The SHGC system allows for safe and effective direct insertion in transradial procedures.
The SHGC facilitates complex PCI transradially with a high success rate.
This represents a promising advancement in transradial interventional cardiology.