Feasibility of Transradial Coronary Angiography and Intervention Using a Single Ikari Left Guiding Catheter for ST Elevation Myocardial Infarction

Abstract

In experienced centers, TRI with a single IL catheter for STEMI is a feasible and effective approach and outcomes are comparable to conventional TFI.

Safety and Efficacy of Using a Single Transradial MAC Guiding Catheter for Coronary Angiography and Intervention in Patients with ST Elevation Myocardial Infarction

“…In addition, the engagement success rate in our study is 96.7% for LCA, 99.4% for RCA, consistent with our result, engagement rate of a single Ikari left (IL) 3.5 guiding catheter for right and left coronary arteries has been reported to 98.1% of cases . Initial guiding catheter exchange was 6.1% in MAC group was similar to 6.2% in a previous report when using a single dedicated guiding catheter (Ikari IL) for primary PCI . Procedural success was 91.7% in our study was higher than those previously reported 89.7%…”

“…Achieving door‐to‐balloon (D2B) time of ≤90 min is an important quality metric in the setting of primary percutaneous coronary intervention (PCI). Several strategies have been proposed to improve D2B time prior to catheterization laboratory arrival, but less attention has been directed toward reducing a key component of D2B time, catheterization laboratory‐to‐balloon (C2B) time …”

“…One way to reduce C2B time and fluoroscopic time is to use a universal catheter instead of conventional multicatheter for both left and right coronary angiography (CA) and intervention via radial artery because it minimizes catheter exchanges and may reduce spasm . Although a few studies have examined the effect of a single universal guiding catheter on reducing C2B and D2B time . So far, there are no randomized data comparing whether using a single guiding catheter versus multicatheter technique via radial approach influence C2B time.…”

“…Several strategies have been proposed to improve D2B time prior to catheterization laboratory arrival, 1 but less attention has been directed toward reducing a key component of D2B time, catheterization laboratory-toballoon (C2B) time. [2][3][4] Transradial approach for primary PCI is associated with improved clinical outcomes compared with transfemoral approach. 5,6 However, its effectiveness may be limited by longer C2B time and fluoroscopic time.…”

Impact of a single universal guiding catheter on door-to-balloon time in primary transradial coronary intervention for ST segment elevation myocardial infarction

“…This technique was first reported by Youssef et al for elective transradial PCI cases, with an extremely high success rate of more than 98 % [12]. Feasibility of this technique compared with transfemoral intervention for STEMI was reported by Chow et al [18]. In this study, we compared D2B time with conventional transradial intervention, the standard guideline-suggested strategy for STEMI.…”