Transradial percutaneous coronary intervention for left main bifurcation lesions using 7.5-Fr sheathless guide catheter

Huiqiang Zhao, Subhash Banerjee, Hui Chen, Hongwei Li

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Recent studies have shown sheathless guide catheters (GCs) to be safe and effective during complex lesions such as bifurcations, chronic total occlusion (CTO), and/or calcified lesions. We investigated the feasibility and safety of using 7.5-Fr sheathless GC for transradial percutaneous coronary intervention (PCI) to treat left main bifurcation lesions. A total of 82 patients were consecutively enrolled from March 2013 to February 2016. They underwent transradial PCI for left main bifurcation lesions using the 7.5-Fr sheathless GC. The mean syntax score was 28.1 ± 6.1, and the majority (n = 55, 67.1%) was intermediate scores (23∼32). The unprotected LM disease was present in 67 of 82 patients (81.7%), and true bifurcation (Medina 1, 1, 1) was present in 46 of 82 patients (56.1%). The 2-stent technique was used in 62 of 82 patients (75.6%). The 2-stent technique included 31 cases (37.8%) of "Crush," 18 cases (22.0%) of "Cullote," and 13 (15.8%) cases of "T stent and modified T stent" (T stent). Immediate angiographic success rate was 100% (82/82), and procedural success rate was 97.6% (80/82). The vascular complications occurred in 3 patients (3/82, 3.7%). The use of 7.5-Fr sheathless GC is safe and allows PCI for complex bifurcation lesions located in the distal of left main to be performed transradially with a high success rate.

Original languageEnglish (US)
Article numbere0678
JournalMedicine (United States)
Volume97
Issue number18
DOIs
StatePublished - May 1 2018

Keywords

  • bifurcation lesions
  • left main lesions
  • percutaneous coronary intervention
  • radial artery
  • sheathless

ASJC Scopus subject areas

  • Medicine(all)

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