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Safety and efficacy of using Judkins left 3.5 guiding catheters for transradial right coronary artery intervention

Z Yan1, X-W Xing, X-G Zhang

  • 1Department of Cardiology, The Second Hospital of Shandong University, Cheeloo College of Medicine, Jinan, Shandong, China. 710887707@qq.com.

European Review for Medical and Pharmacological Sciences
|April 4, 2023
PubMed

Insights

The Judkins left (JL) 3.5 guiding catheter is safe and effective for transradial right coronary artery (RCA) percutaneous coronary intervention (PCI), comparable to other catheters. Factors like heart function, chronic total occlusion (CTO), and tortuosity influence intervention success with JL 3.5.

Area of Science:

  • Interventional Cardiology
  • Vascular Access Techniques
  • Coronary Artery Disease Management

Background:

  • Limited data exists on the Judkins left (JL) 3.5 guiding catheter for routine transradial right coronary artery (RCA) percutaneous coronary intervention (PCI).
  • Assessing the safety and efficacy of the JL 3.5 catheter in this context is crucial for optimizing PCI procedures.

Purpose of the Study:

  • To investigate the safety and efficacy of the JL 3.5 guiding catheter for transradial RCA PCI.
  • To compare the outcomes of using JL 3.5 versus other routine guiding catheters (GCs) for RCA PCI.

Main Methods:

  • Retrospective study of 311 patients undergoing transradial RCA PCI.
  • Comparison between the JL 3.5 group (n=175) and a routine GC group (n=136) including Judkins right (JR) 4.0 and Amplatz (left) catheters.
  • Logistic multivariable analysis to identify factors associated with PCI success, complications, and need for extra support.

Main Results:

  • No significant differences in in-hospital complications, need for extra support, or success rates were observed between the JL 3.5 and routine GC groups.
  • Coronary chronic total occlusion (CTO) was negatively associated with intervention success and positively with extra support.
  • Vessel tortuosity was associated with the need for extra support.
  • In the JL 3.5 group, left ventricular ejection fraction, CTO, and tortuosity were independently associated with intervention success.

Conclusions:

  • The JL 3.5 guiding catheter demonstrates comparable safety and efficacy to JR 4.0 and Amplatz (left) catheters for transradial RCA PCI.
  • Consideration of patient factors including heart function, CTO, and vessel tortuosity is important when utilizing the JL 3.5 catheter for RCA PCI.
Abstract

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