PMID- 27781297
OWN - NLM
STAT- MEDLINE
DCOM- 20170427
LR  - 20181202
IS  - 1540-8183 (Electronic)
IS  - 0896-4327 (Linking)
VI  - 30
IP  - 1
DP  - 2017 Feb
TI  - Safety and Efficacy of Using a Single Transradial MAC Guiding Catheter for 
      Coronary Angiography and Intervention in Patients with ST Elevation Myocardial 
      Infarction.
PG  - 33-42
LID - 10.1111/joic.12346 [doi]
AB  - BACKGROUND: There are limited data on the impact of using a single dedicated 
      radial guiding catheter in primary percutaneous coronary intervention (PCI) via 
      radial access. OBJECTIVES: To investigate the effect of using a single guiding 
      catheter (MAC 3.5) for left and right coronary angiography and intervention on 
      catheterization laboratory door to balloon (C2B) time in patients with ST 
      elevation myocardial infarction (STEMI). METHODS: Three hundred and sixty 
      patients were randomized (1:1) to using a single MAC3.5 guiding catheter (MAC 
      group) or diagnostic Tiger catheter first for coronary angiography followed by 
      guiding catheter selection (control group) for intervention. The primary outcomes 
      were C2B. The secondary outcomes were major adverse cardiac events (MACE) at 30 
      days and 6 months. RESULTS: Median C2B time (16.6 min, interquartile range [IQR] 
      14.3-20.2 min vs 19.0 min, IQR 14.3-23.1 min; P < 0.001), total procedure time 
      (31.0 min, IQR 26.4-37.7 min vs 34.8 min, IQR 29.7-42.5 min, P < 0.001), and 
      overall fluoroscopy time (8.0 min, IQR 6.4-10.4 min vs 8.8 min, IQR 6.5-12.2, 
      P = 0.04) were significantly reduced in MAC Group. Contrast consumption were 
      similar among both groups (103 +/- 37 ml vs 110 +/- 41 ml, P = 0.16). The MACE rate 
      in MAC group and control group was 3.3 versus 4.4% (P = 0.586) at 30 days and 3.3 
      versus 5.0% (P = 0.429) at 6 months, respectively. CONCLUSIONS: A single MAC3.5 
      guiding catheter for coronary angiography and intervention can shorten C2B time, 
      procedure time, and fluoroscopy time. (RAPID study; NCT01759043).
CI  - (c) 2016, Wiley Periodicals, Inc.
FAU - Guo, Jincheng
AU  - Guo J
AD  - Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, 
      Beijing, China.
FAU - Chen, Wenming
AU  - Chen W
AD  - Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, 
      Beijing, China.
FAU - Wang, Guozhong
AU  - Wang G
AD  - Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, 
      Beijing, China.
FAU - Liu, Zijing
AU  - Liu Z
AD  - Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, 
      Beijing, China.
FAU - Hao, Minghui
AU  - Hao M
AD  - Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, 
      Beijing, China.
FAU - Xu, Min
AU  - Xu M
AD  - Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, 
      Beijing, China.
FAU - Zhu, Fuli
AU  - Zhu F
AD  - Department of Cardiology, Beijing Luhe Hospital, Capital Medical University, 
      Beijing, China.
LA  - eng
SI  - ClinicalTrials.gov/NCT01759043
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20161025
PL  - United States
TA  - J Interv Cardiol
JT  - Journal of interventional cardiology
JID - 8907826
SB  - IM
MH  - Aged
MH  - *Angioplasty, Balloon, Coronary
MH  - *Cardiac Catheters
MH  - Coronary Angiography/*instrumentation
MH  - Female
MH  - Fluoroscopy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - ST Elevation Myocardial Infarction/*diagnostic imaging/*therapy
MH  - Safety
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2016/10/27 06:00
MHDA- 2017/04/28 06:00
CRDT- 2016/10/27 06:00
PHST- 2016/10/27 06:00 [pubmed]
PHST- 2017/04/28 06:00 [medline]
PHST- 2016/10/27 06:00 [entrez]
AID - 10.1111/joic.12346 [doi]
PST - ppublish
SO  - J Interv Cardiol. 2017 Feb;30(1):33-42. doi: 10.1111/joic.12346. Epub 2016 Oct 
      25.