Initial experience with the glidesheath slender for transradial coronary angiography and intervention: A feasibility study with prospective radial ultrasound follow‐up
“…This may relate to the lack of radial specific equipment and sheaths used in these studies that would increase RAS rates, particularly when using sheaths without hydrophilic coatings [37]. An additional factor is that many centers use smaller diameter 5Fr radial sheaths and catheters for diagnostic cardiac catheterization that would decrease rates of RAS observed as would use of more contemporary thinner wall sheaths such as the Glidesheath Slender which combines an inner diameter compatible with 6Fr guiding catheter with an outer diameter close to current 5Fr sheaths where RAS rates have been reported as low as 4.4% [38]. Finally sheathless guide catheter usage may also result in lower rates of RAS than those reported in the 'placebo'…”
Objectives: The aim of this study is to review the available literature on the efficacy and safety of agents used for prevention of RAS.Background: Different vasodilator agents have been used to prevent radial artery spasm
“…This may relate to the lack of radial specific equipment and sheaths used in these studies that would increase RAS rates, particularly when using sheaths without hydrophilic coatings [37]. An additional factor is that many centers use smaller diameter 5Fr radial sheaths and catheters for diagnostic cardiac catheterization that would decrease rates of RAS observed as would use of more contemporary thinner wall sheaths such as the Glidesheath Slender which combines an inner diameter compatible with 6Fr guiding catheter with an outer diameter close to current 5Fr sheaths where RAS rates have been reported as low as 4.4% [38]. Finally sheathless guide catheter usage may also result in lower rates of RAS than those reported in the 'placebo'…”
Objectives: The aim of this study is to review the available literature on the efficacy and safety of agents used for prevention of RAS.Background: Different vasodilator agents have been used to prevent radial artery spasm
“…Another approach to this problem is offered by the 7‐Fr Glidesheath Slender (Terumo, Tokyo, Japan), a hydrophilic radial sheath that combines an inner diameter compatible with any 7‐Fr guiding catheter with an outer diameter close to current 6‐Fr sheaths. Experience with the 6‐Fr Glidesheath Slender is promising and clinical data on the 7‐Fr iteration is awaited.…”
Section: Pushing the Tra Indication Furthermentioning
“…The length of the 5Fr GSS is 16 cm. Aminian et al reported the safety and feasibility of the 6 Fr GSS [6]. In this study, initial experience with the 5 Fr GSS (4 Fr outer diameter) was evaluated in patients undergoing TRA and TRI, focusing on safety and feasibility.Fig.…”
The aim of this study was to evaluate the safety and feasibility of the new 5 Fr Glidesheath Slender (GSS). The transradial (TR) approach has become popular because of several advantages, such as a reduced rate of vascular access site complications. However, because the radial artery is narrow, a limitation of TR access is the potential for artery spasm or occlusion. Studies of radial artery size demonstrate that 5 Fr sheaths are too wide for more than 10 % of patients. The GSS (Terumo, Tokyo, Japan) is a new radial sheath with a thinner wall and a hydrophilic coating. It has an inner diameter that is compatible with a 5 Fr guiding catheter, while the outer diameter is similar to that of a 4 Fr sheath. A total of 21 consecutive patients undergoing transradial angiography and/or transradial percutaneous coronary intervention with the 5 Fr GSS were included, and safety and feasibility of the device were assessed. Transradial angiography was performed in 10 patients, and transradial intervention in 11 patients. All procedures were successful, without the need for conversion to the transfemoral approach. The radial artery occlusion rate was 0 %, including a patient who had experienced six previous radial artery punctures. There were no cases of artery spasm, hematoma, major bleeding or functional disorders. One coronary artery perforation caused by a guidewire was reported, but it was unrelated to the sheath introducer. The new 5 Fr GSS was safe and feasible for transradial angiography and transradial intervention.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
