PMID- 22308978
OWN - NLM
STAT- MEDLINE
DCOM- 20130418
LR  - 20161125
IS  - 1540-8183 (Electronic)
IS  - 0896-4327 (Linking)
VI  - 25
IP  - 3
DP  - 2012 Jun
TI  - Feasibility of transradial coronary angiography and intervention using a single 
      Ikari left guiding catheter for ST elevation myocardial infarction.
PG  - 235-44
LID - 10.1111/j.1540-8183.2011.00710.x [doi]
AB  - BACKGROUND: Transradial coronary intervention (TRI) has been widely adopted in ST 
      elevation myocardial infarction (STEMI) patients but there is limited literature 
      on the use of a single catheter for both diagnostic angiography and intervention. 
      We aim to evaluate the feasibility and outcomes of TRI with a single Ikari left 
      (IL) guiding catheter in STEMI patients. METHODS: This is a retrospective study 
      of 362 consecutive STEMI patients from August 2007 to December 2008. We assessed 
      the feasibility of TRI with a single IL and compared this strategy with 
      conventional transfemoral intervention (TFI) on the following outcomes: (1) door 
      to perfusion time, (2) total procedural duration, (3) total fluoroscopy duration, 
      and (4) major adverse cardiac events (MACE) by intention to treat analysis. 
      RESULTS: TRI was attempted in 185 patients. There were no failed radial 
      cannulations. Overall success rate of primary TRI with a single IL was 96.9% and 
      there were only 2 failures that required conversion to TFI. Compared to TFI, TRI 
      with IL tended to a shorter median door to perfusion time, 90 (IQR 76.0 - 119.5) 
      versus 98 (IQR 80.8 - 120.5) minutes (P = 0.07) and a shorter median procedure 
      duration of 34 (IQR 27.0 - 45.0) versus 37 (IQR 28.0 - 49.3) minutes (P = 0.06). 
      The median fluoroscopy duration was longer in the TRI group. MACE were comparable 
      between the 2 groups. CONCLUSION: In experienced centers, TRI with a single IL 
      catheter for STEMI is a feasible and effective approach and outcomes are 
      comparable to conventional TFI.
CI  - (c)2012, Wiley Periodicals, Inc.
FAU - Chow, Jeremy
AU  - Chow J
AD  - Department of Cardiology, Changi General Hospital, Singapore. jhchow@dr.com
FAU - Tan, Chong Hiok
AU  - Tan CH
FAU - Tin, Aung Soe
AU  - Tin AS
FAU - Ong, Sea Hing
AU  - Ong SH
FAU - Tan, Vern Hsen
AU  - Tan VH
FAU - Goh, Yew Seong
AU  - Goh YS
FAU - Gan, Hwa Wooi
AU  - Gan HW
FAU - Tan, Kok Soon
AU  - Tan KS
FAU - Lingamanaicker, Jayaram
AU  - Lingamanaicker J
LA  - eng
PT  - Journal Article
DEP - 20120207
PL  - United States
TA  - J Interv Cardiol
JT  - Journal of interventional cardiology
JID - 8907826
SB  - IM
MH  - Catheters
MH  - Coronary Angiography/*instrumentation/methods
MH  - Coronary Vessels/*pathology
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Intention to Treat Analysis
MH  - Male
MH  - Myocardial Infarction/diagnostic imaging/*therapy
MH  - Percutaneous Coronary Intervention/*instrumentation/methods
MH  - Radial Artery
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2012/02/09 06:00
MHDA- 2013/04/20 06:00
CRDT- 2012/02/08 06:00
PHST- 2012/02/08 06:00 [entrez]
PHST- 2012/02/09 06:00 [pubmed]
PHST- 2013/04/20 06:00 [medline]
AID - 10.1111/j.1540-8183.2011.00710.x [doi]
PST - ppublish
SO  - J Interv Cardiol. 2012 Jun;25(3):235-44. doi: 10.1111/j.1540-8183.2011.00710.x. 
      Epub 2012 Feb 7.