TCT-408 Sheathless Guide Catheters in complex Transradial PCI. A Single Center Experience

Abstract

highly effective and safe primary treatment modality. Initial thrombosis rates exceeded 90% and no serious complications were observed in this series despite a high rate of concomitant antiplatelet and antithrombotic therapy. Background:The preclose technique with the 6 F Proglide for complete percutaneous endovascular aortic repair have not been sufficiently evaluated. We investigated the efficacy and safety of the preclose technique in a sufficient and large cases. Methods: The medical records of 367 patients with 599 preclose techniques for various aortic repairs were reviewed. Procedural success was defined as hemostasis achieved by the preclose technique, without the need for surgical or endovascular procedures. Access related major adverse event (ARMAE)s were considered as those event, such as infection, bleeding, new onset ischemia of the lower leg, hematoma, pseudoaneurysm, arteriovenous fistula, embolization, laceration, femoral artery thrombosis, nerve injury, or death by access site injury. Results: Procedural success was achieved in 359 of 367 patients (97.8%) and 591 of 599 left or right femoral sites (98.7%). All cases of procedural failure were treated by immediate surgical repair of femoral arteries. The preclose technique was more successful in the smaller sheath. ARMAEs developed in 25 of 367 patients (6.8%) and 26 of 599 sites (4.3%). Access site hematoma was the most frequent adverse events (16 of 367 patients (4.4%) and 17 of 599 sites (2.8%)), followed by puncture site pseudoaneurysm (7 of 367 patients (1.9%) and 7 of 599 sites (1.2%)). Bleeding after arterial closure occurred in 6 of 367 patients (1.6%) and 6 of 599 sites (1.0%). In 2 of 367 patients (0.5%), there was an infection at the puncture site. There were two cases of distal embolization, one case of acute femoral thrombosis, and one case of a vascular laceration at the puncture site. There were no access site related nerve injury, arteriovenous fistula or death complicated by access site. Conclusions:The preclose technique can be used to achieve hemostasis for stent graft procedure successfully, with a high rate of procedural success and an acceptable rate of adverse event, the most common being puncture site hematoma formation. TCT-405Transradial approach decreases in-hospital mortality in patients with cardiogenic shock. A single-center experience