Effectiveness of Left Judkins Catheter as a Single Multipurpose Catheter in Transradial Coronary Angiography From Right Radial Artery: A Randomized Comparison With Conventional Two‐Catheter Strategy

Abstract

In TRA from RRA, JL3.5 catheter can be very effective when dedicated multipurpose catheter is not available. As a single multipurpose catheter, JL works perfectly in nearly half of procedures without prolonging procedure and fluoroscopy times. However insisting on a single-catheter approach with JL could unnecessarily increase fluoroscopy time and, hence, radiation exposure. (J Interven Cardiol 2016;29:257-264).

Radial Artery and Ulnar Artery Occlusions Following Coronary Procedures and the Impact of Anticoagulation: ARTEMIS (Radial and Ulnar ARTE ry Occlusion M eta‐Analys IS ) Systematic Review and Meta‐Analysis

“…Of those, 28 articles were excluded because either no RAO/UAO rates were reported or they were reviews/editorials or meta‐analyses not reporting original data on RAO/UAO rates, whereas 5 studies were excluded because they were duplicate reports (Figure ). Finally, 112 original articles assessing RAO and/or UAO were deemed eligible for our meta‐analysis, of which 99 cohorts from 92 studies publishing RAO…”

“…Ultrasonography demonstrated clear superiority over clinical evaluation with respect to RAO and UAO detection rates. Absence of flow on Doppler ultrasonography along with the simultaneously obtained anatomic information (eg, thrombus delineation) appears as a straightforward detection technique of RAOs and UAOs. In this regard, the predictive accuracy of solely anatomic stenosis or partial flow remains to be established.…”

Effectiveness of Handmade “Jacky‐Like Catheter” As a Single Multipurpose Catheter in Transradial Coronary Angiography: A Randomized Comparison With Conventional Two‐Catheter Strategy

“…Louvard et al reported high success rates with left Amplatz catheter. Similarly JL catheter was reported to be effective as a single transradial catheter …”

“…Similarly JL catheter was reported to be effective as a single transradial catheter. [13][14][15] The purpose of our study was to evaluate the safety and efficacy of specialized hand-modified "Jacky-like" catheter (JLC) modified from 5F JL3.5 that is used as a single dual-purpose catheter compared with traditional 2-catheter (2C) approach with JL and right Judkins (JR) catheters, in patients undergoing diagnostic CAG through right radial artery (RRA). We also aimed to show that JLC is useful and safe as original Jacky catheter in reducing the time of the procedure and making catheter exchange unnecessary.…”

Editorial: Radial to Coronary: Ideal Catheter for the Ideal Approach

“…Similary in this larger context, the question of whether universal catheters shapes are actually “ideal” should be considered on evolving evidence base. Various reports including prospective randomized trials have described successful use of different “universal” catheters during TRA such as Tiger, Jackie, Kimny, Ikari, Fajadet, Amplatz or MAC 3.5 to reduce procedure time, fluoroscopy time, risk of radial irritation, spasm, pain, and access switchover. Erden's approach to re‐shaping guides may be more relevant to labs in settings where inventory or resources are more limited.…”