PMID- 31850481
OWN - NLM
STAT- MEDLINE
DCOM- 20200316
LR  - 20200316
IS  - 1972-6007 (Electronic)
IS  - 0009-9074 (Linking)
VI  - 170
IP  - 1
DP  - 2020 Jan-Feb
TI  - A new method for left carotid angiography: use right judkins 4 guiding (6f) 
      catheter with 2 side holes.
PG  - e30-e35
LID - 10.7417/CT.2020.2185 [doi]
AB  - OBJECTIVE: To introduce a rapid and simple technique to engage and localize 
      through left common carotid (LCCA) artery during selective carotid angiography 
      using the same type of catheter (6F Medtronic/launcher Judkins Right Guide 
      Catheter, 4.0 Tip,2 Side holes, U.S.A.). METHODS: Patients were divided into two 
      groups as new method and conventional method group including 295 and 292 prior to 
      carotid angiography, respectively. The primary endpoints of this study included 
      an analysis of total procedure time, time required for cannulation of left common 
      carotid artery, fluoroscopy time and selective imaging success for left common 
      carotid artery, feasibility, safety, amount of radio opaque agent and radiation 
      exposure. RESULTS: Our novel method applied using a single catheter shortened 
      total procedure time (5.41 +/- 1.56 min. vs. 7.52 +/- 2.48 min., respectively, 
      p<0.001), fluoroscopy time (98 +/- 9 sec. vs. 210 +/- 19 sec., respectively, 
      p<0.001), duration of left carotid artery cannulation (15 +/- 1.2 sec vs. 42 +/- 1.9 
      sec, respectively, p< 0.001). Use of our method reduced radiation exposure (120 +/- 
      17 mGy vs. 217 +/- 11 mGy, respectively, p<0.001), amount of contrast agent (44.99 
      +/- 12.84 ml vs. 59.89 +/- 18.93 ml, respectively, p<0.001). Aortic arch angiography 
      was not needed in the first group compared with the conventional method group (0% 
      vs. 29%, respectively, p<0.001). Also a higher success was achieved in 
      cannulation of left common carotid artery using an identical catheter compared 
      with application of conventional methods requiring use of different types of 
      catheter (100% vs. 60%, respectively, p<0.001). No major complication and 
      mortality was found due to use of both methods. However, a statistically 
      insignificant elevation in minor complication was encountered in the patient 
      group who underwent coronary angiography by the conventional method (3% vs. 7%, 
      respectively, p<0.064). CONCLUSIONS: This new method is more easily applicable 
      with a shorter duration for cannulation and localization of LCCA, safer for the 
      patients with use of a limited amount of radio-opaque agent and finally 
      cost-effective by requiring only one type of catheter and a limited.
FAU - Gocer, H
AU  - Gocer H
AD  - Izmir Medicalpark Hospital, Cardiology, Izmir, Turkey.
FAU - Keskin, G
AU  - Keskin G
AD  - Amasya Medical School, Cardiology, Amasya, Turkey.
FAU - Gunday, M
AU  - Gunday M
AD  - Afyon Health Sciences University, Cardiovascular Surgery, Afyonkarahisar, Turkey.
FAU - Unal, M
AU  - Unal M
AD  - Bicard Clinic, Cardiovascular Surgery, Bishkek, Kyrgyzstan.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Italy
TA  - Clin Ter
JT  - La Clinica terapeutica
JID - 0372604
RN  - 0 (Contrast Media)
SB  - IM
MH  - Aged
MH  - Cardiac Catheterization/*methods
MH  - Carotid Arteries/*diagnostic imaging
MH  - Catheterization
MH  - Catheters/*standards
MH  - Contrast Media/*standards
MH  - Coronary Angiography/*methods
MH  - Female
MH  - Fluoroscopy/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Radial Artery/*diagnostic imaging
OTO - NOTNLM
OT  - Angiography
OT  - Carotid
OT  - Judkins
EDAT- 2019/12/19 06:00
MHDA- 2020/03/17 06:00
CRDT- 2019/12/19 06:00
PHST- 2019/12/19 06:00 [entrez]
PHST- 2019/12/19 06:00 [pubmed]
PHST- 2020/03/17 06:00 [medline]
AID - 10.7417/CT.2020.2185 [doi]
PST - ppublish
SO  - Clin Ter. 2020 Jan-Feb;170(1):e30-e35. doi: 10.7417/CT.2020.2185.