PMID- 21585544
OWN - NLM
STAT- MEDLINE
DCOM- 20120214
LR  - 20111018
IS  - 1540-8183 (Electronic)
IS  - 0896-4327 (Linking)
VI  - 24
IP  - 5
DP  - 2011 Oct
TI  - Use of a single Q guide catheter for complete assessment and treatment of both 
      coronary arteries via radial access during acute ST elevation myocardial 
      infarction: a review of 40 consecutive cases.
PG  - 389-96
LID - 10.1111/j.1540-8183.2011.00655.x [doi]
AB  - BACKGROUND: It is normally necessary to use more than 1 coronary catheter in 
      primary percutaneous coronary intervention (PPCI) for ST elevation myocardial 
      infarction (STEMI). We explored the utility of a single guide catheter (Q) 
      strategy for complete coronary assessment and treatment in PPCI. METHODS: 
      Fifty-seven consecutive STEMI cases undergoing invasive management were included. 
      Radial access was the default route (6 cases via femoral access). Among radial 
      cases, a TIG catheter was used first on 6 occasions (perceived low likelihood of 
      subsequent PCI) and a Judkins right followed by an EBU catheter on three 
      occasions (stock issue). A Q guide was used as initial default in the remaining 
      42 cases. Two anterior STEMI cases had recently undergone angiography and did not 
      require right coronary reinspection. Procedural and outcomes data were recorded 
      prospectively. RESULTS: The Q catheter allowed complete assessment and treatment 
      in 33 cases, 6 cases requiring a second catheter and one patient dying prior to 
      right coronary imaging. Territories of infarction were: anterior (n = 18), 
      inferior (n = 14), inferoposterior (n = 3), lateral (n = 1), inferolateral (n = 
      2), inferoposterolateral (n = 2). Sixty-three out of 65 lesions were treated 
      successfully. Median catheterization laboratory door to balloon time was 18 
      minutes (IQR 15-21 minutes). There were no catheter-related complications. 
      CONCLUSIONS: A default Q guide catheter allows rapid effective imaging and 
      treatment of both left and right coronaries in the majority of STEMI cases 
      suitable for radial access PPCI. 
CI  - (c)2011, Wiley Periodicals, Inc.
FAU - Roberts, Elved B
AU  - Roberts EB
AD  - Cardiology Department, Glenfield Hospital, Groby Road, Leicester, United Kingdom. 
      elvedroberts@gmail.com
FAU - Wood, Alice
AU  - Wood A
LA  - eng
PT  - Journal Article
DEP - 20110517
PL  - United States
TA  - J Interv Cardiol
JT  - Journal of interventional cardiology
JID - 8907826
SB  - IM
MH  - Aged
MH  - Angioplasty, Balloon, Coronary/*instrumentation/methods
MH  - *Catheters
MH  - Coronary Vessels/*pathology
MH  - Drug-Eluting Stents
MH  - Female
MH  - Health Status Indicators
MH  - Humans
MH  - Male
MH  - Myocardial Infarction/drug therapy/mortality/surgery/*therapy
MH  - *Radial Artery
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Statistics, Nonparametric
MH  - Treatment Outcome
EDAT- 2011/05/19 06:00
MHDA- 2012/02/15 06:00
CRDT- 2011/05/19 06:00
PHST- 2011/05/19 06:00 [entrez]
PHST- 2011/05/19 06:00 [pubmed]
PHST- 2012/02/15 06:00 [medline]
AID - 10.1111/j.1540-8183.2011.00655.x [doi]
PST - ppublish
SO  - J Interv Cardiol. 2011 Oct;24(5):389-96. doi: 10.1111/j.1540-8183.2011.00655.x. 
      Epub 2011 May 17.