Short- and Long-Term Follow-up of Percutaneous Coronary Intervention for Chronic Total Occlusion through Transradial Approach: Tips for Successful Procedure from a Single-Center Experience

Abstract

It was demonstrated that transradial PCI for CTO lesions is safe, minimizing vascular complications without increasing procedural time and contrast use.

Impact of operator experience and wiring technique on procedural efficacy of trans-radial percutaneous chronic total occlusion recanalization performed by dedicated radialists

“…Our data suggest that in a dedicated TRA centre TRA can be considered also for highly complex PCI like CTO. The possible relevance of TRA experience in TRA CTO PCI is also suggested by the highly variable rate of access failure reported by previously published studies [5,[10][11][12][13]. Moreover, since access crossovers are mainly due to anatomical variants of radial and subclavian arteries [11], the ability to promptly recognize and appropriately overcome upper limb anatomic variants [14] is probably pivotal to successfully complete the procedure by TRA.…”

Radial approach for percutaneous coronary interventions on chronic total occlusions: Technical issues and data review

“…Studies published in extenso within November 2012 on TRA for CTO were identified by Medline search (http://www.ncbi.nlm.nih.gov) entering the words “chronic total occlusion” or “CTO” and “radial approach” or “transradial”. Furthermore, the TCT (http://www.tctmd.com), EuroPCR (http://www.europcr.com), ESC (http://www.escardio.org), SCAI (http://www.scai.org) and AHA (http://www.americanheart.org) websites were searched for pertinent abstracts and expert slides presentations . Case reports and case series with less than 10 CTO lesions were excluded.…”

“…No prospective randomized trial was found, whereas 13 observational studies provided data regarding 3,501 PCI for CTOs by TRA . Of these, seven studies were published as full papers, whereas six studies were available as abstract or expert slide presentation . One study, firstly published as an abstract, has been recently accepted for publication as a full paper .…”

“…Of note, all studies were single centre and were conducted by operators reporting to have a specific experience in TRA PCI. The majority of the studies adopted mainly the antegrade technique (Table ), whereas two registries reported respectively a single centre and a single operator experience with retrograde bi‐radial technique (Table ).…”

Comparison of the Effects of Iodixanol and Iopamidol on Urine Flow, Urine Viscosity, and Glomerular Filtration in Rats

“…By injecting CM into the thoracic aorta, we emulate percutaneous cardiac interventions. The CM dose used is in the lower range of the doses patients undergoing such interventions usually receive [49][50][51][52], as compared on a per body surface area basis as required for dose-dependent adverse effects between species by regulatory bodies [50]. However, during cardiac interventions the CM is usually given by consecutive smaller injections.…”