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AS-293: Selection of the Catheter Size and the Puncture Site for Complex Coronary Interventions
April 24 –27, 2012
AS-293
O R A L
Selection of the Catheter Size and the Puncture Site for Complex Coronary Interventions. Satoshi Takeshita, Koki Shishido, Kazuya Sugitatsu, Futoshi Yamanaka, Shingo Mizuno, Hidetaka Suenaga, Masato Murakami, Yutaka Tanaka, Junya Matsumi, Shigeru Saito. Shonan Kamakura General Hospital, Kamakura, Japan. Background: The rise of the small-sized (slender) as well as the sheathless guiding systems may have significant impact upon our PCI practice. We retrospectively reviewed our recent PCI cases, and sought to determine the current trends in our PCI practice. Methods: Between September 2010 and August 2011, 1126 consecutive patients underwent PCI at our hospital, among whom sites of the catheter access, sizes of the guiding catheters, and lesion characteristics were evaluated using the hospital records. Results: Access sites included radial artery in 76% of the patients, femoral in 17%, and brachial in 7%. The sizes of the guidings were 6-Fr in 77%, 5-Fr in 11%, 7-Fr in 9%, and 8-Fr in 3%, and 4-Fr in 1%. LMT lesions were treated with 6-Fr in 84%, and 7-Fr in 16%. Bifurcation lesions were treated with 6-Fr in 83%, 7-Fr in 11%, and 5-Fr in 7%. CTOs were treated with 6-Fr in 37%, 7-Fr in 37%, 8-Fr in 19%, and 5-Fr in 7%. Sheathless guidings were used in 3% of cases, among whom only 3% included LMT/bifurcation/CTO lesions.
Conclusion: Despite the rise of the slender and the sheathless guidings, conventional 6-Fr guidings still appeared standard in our PCI practice. With regard to complex lesions, for the treatment of LMT and bifurcation, 6-Fr guidings were used in ⬎80% of the cases. In contrast, for CTO lesions, 7- and 8-Fr guidings were used in ⬎50% of the cases because of the better catheter support. The indication of the slender and the sheathless systems was limited for small group of patients with relatively simple coronary lesions.
The American Journal of Cardiology姞 APRIL 24 –27, 2012 ANGIOPLASTY SUMMIT ABSTRACTS/Oral
61S
A B S T R A C T S
AS-293
O R A L
Selection of the Catheter Size and the Puncture Site for Complex Coronary Interventions. Satoshi Takeshita, Koki Shishido, Kazuya Sugitatsu, Futoshi Yamanaka, Shingo Mizuno, Hidetaka Suenaga, Masato Murakami, Yutaka Tanaka, Junya Matsumi, Shigeru Saito. Shonan Kamakura General Hospital, Kamakura, Japan. Background: The rise of the small-sized (slender) as well as the sheathless guiding systems may have significant impact upon our PCI practice. We retrospectively reviewed our recent PCI cases, and sought to determine the current trends in our PCI practice. Methods: Between September 2010 and August 2011, 1126 consecutive patients underwent PCI at our hospital, among whom sites of the catheter access, sizes of the guiding catheters, and lesion characteristics were evaluated using the hospital records. Results: Access sites included radial artery in 76% of the patients, femoral in 17%, and brachial in 7%. The sizes of the guidings were 6-Fr in 77%, 5-Fr in 11%, 7-Fr in 9%, and 8-Fr in 3%, and 4-Fr in 1%. LMT lesions were treated with 6-Fr in 84%, and 7-Fr in 16%. Bifurcation lesions were treated with 6-Fr in 83%, 7-Fr in 11%, and 5-Fr in 7%. CTOs were treated with 6-Fr in 37%, 7-Fr in 37%, 8-Fr in 19%, and 5-Fr in 7%. Sheathless guidings were used in 3% of cases, among whom only 3% included LMT/bifurcation/CTO lesions.
Conclusion: Despite the rise of the slender and the sheathless guidings, conventional 6-Fr guidings still appeared standard in our PCI practice. With regard to complex lesions, for the treatment of LMT and bifurcation, 6-Fr guidings were used in ⬎80% of the cases. In contrast, for CTO lesions, 7- and 8-Fr guidings were used in ⬎50% of the cases because of the better catheter support. The indication of the slender and the sheathless systems was limited for small group of patients with relatively simple coronary lesions.
The American Journal of Cardiology姞 APRIL 24 –27, 2012 ANGIOPLASTY SUMMIT ABSTRACTS/Oral
61S
A B S T R A C T S