Transradial simultaneous kissing stenting (SKS) with SheathLess access

Liang, Michael; Puri, Aniket; Linder, Rickard

doi:10.1002/ccd.22236

Cited by 26 publications

(11 citation statements)

References 4 publications

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“…proximal protection, thrombectomy devices, and simultaneous kissing stenting 7)8). In our study, we successfully performed three complex procedures including two in which the kissing balloon technique was used and one in which the modified T-stenting technique was used.…”

Section: Discussionmentioning

confidence: 95%

Feasibility of Transradial Coronary Intervention Using a Sheathless Guiding Catheter in Patients With Small Radial Artery

et al. 2011

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Background and ObjectivesTransradial coronary angiography and intervention are increasing in frequency due to lower major vascular access site complications and the potential for early mobilization. However, the small size of the radial artery (RA) is a major limitation of this technique. A sheathless guiding catheter (GC) has recently been introduced that has a 1-2 French smaller diameter compared with the corresponding introducer sheath. This catheter also has a hydrophilic coating along its entire length. We evaluated the feasibility of using a sheathless GC in patients who have small radial arteries.Subjects and MethodsThe procedural results were evaluated in patients with small radial arteries (diameter <2.3 mm) who underwent transradial coronary intervention using a sheathless GC.ResultsA total of 25 (male: 9) patients with 29 lesions were enrolled. The mean RA diameter was 1.81±0.26 mm. 44% of the patients had stable angina and 50.0% had acute coronary syndrome. The procedural success rate was 93.1%. Two patients (6.9%) had chronic total occlusive lesions that could not be crossed with a guide-wire despite good guiding support. An intravascular ultrasound could be used for all of the treated lesions. Multi-vessel intervention was performed in 29.2% of the patients. Two bifurcated lesions were treated with a kissing balloon technique, and one with a modified T-stenting technique. No catheter related complications were reported.ConclusionThe use of a sheathless GC is feasible in patients with small radial arteries without catheter related complications.

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Section: Discussionmentioning

confidence: 95%

Feasibility of Transradial Coronary Intervention Using a Sheathless Guiding Catheter in Patients With Small Radial Artery

et al. 2011

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“…Moreover, recent studies have shown that the sheathless catheter can be successfully used in complex procedures requiring the use of at least 6‐F and even 7‐F GC .…”

Section: Discussionmentioning

confidence: 99%

Feasibility and safety of transradial coronary interventions using a 6.5‐F sheathless guiding catheter in patients with small radial arteries

Cheaito

Benamer

Hovasse

et al. 2015

Cathet Cardio Intervent

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“…Sheathless guiding catheter systems consisting in a hydrophilic catheter with a central dilator that does not require an introducer sheath during transradial PCI offer a larger lumen than a conventional guiding catheter inserted through a sheath introducer of similar outer diameter. These systems have been shown effective for treatment of complex coronary lesions, including bifurcations, and may represent another alternative to 5 French guiding catheters in patients with a small radial artery . Such an opportunity needs to be gauged against higher costs and potential stability and safety issues related to the hydrophilic coating and increased stiffness compared to conventional guiding catheters …”

Section: Discussionmentioning

confidence: 99%

Concept and practice of transradial 5 French percutaneous treatment of coronary bifurcation lesions

Sgueglia

Gioffrè

Santis

et al. 2018

Cathet Cardio Intervent

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Objectives To assess the efficacy and safety of transradial 5 French percutaneous treatment of coronary bifurcations using conventional devices. Background Radial artery is smaller than femoral artery, and its size may potentially limit transradial intervention, especially when coronary anatomy is not known. Methods Patients with bifurcations lesions undergoing transradial 5 French ad hoc revascularization were treated according to provisional side branch (SB) stenting followed by the POT—SB dilation—final POT sequence. Only conventional devices were used. Results Overall, 80 patients (58 men, 65 ± 10 years) were enrolled. True bifurcations accounted for 64% of cases, with the left anterior descending artery/diagonal branch being the most frequent bifurcation site (n = 37, 46%) and left main coronary artery bifurcation being treated in 6 (8%) patients. Angiographic success was achieved in 78 (97.5%) patients through a 5 French guiding catheter whereas in two cases, a 5–6 French guiding catheter upgrade was required to optimize SB treatment after the main bifurcation vessel have been secured. Overall, procedural success was achieved in all but one patient who had periprocedural necrosis following multivessel PCI. Another patient underwent target bifurcation revascularization because of a critical restenosis in a significant SB yielding an acute coronary syndrome five months after the index procedure. Conclusions This study demonstrates the feasibility of transradial 5 French bifurcation intervention with nondedicated devices and preliminary supports its efficacy and safety over a wide range of bifurcation anatomy and complexity.

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Transradial simultaneous kissing stenting (SKS) with SheathLess access

Cited by 26 publications

References 4 publications

Feasibility of Transradial Coronary Intervention Using a Sheathless Guiding Catheter in Patients With Small Radial Artery

Feasibility of Transradial Coronary Intervention Using a Sheathless Guiding Catheter in Patients With Small Radial Artery

Feasibility and safety of transradial coronary interventions using a 6.5‐F sheathless guiding catheter in patients with small radial arteries

Concept and practice of transradial 5 French percutaneous treatment of coronary bifurcation lesions

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