Interventional Medicine and Applied Science
Volume/Issue:
Volume 6: Issue 1
Advantages of a workbench reshaped AR1 mod catheter for right coronary angiography by right radial approach
Authors:
Cesare Baldi Interventional Cardiology, A.O.U. San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy
Heart Department, University Hospital “Scuola Medica Salernitana”, Largo Città di Ippocrate Salerno, 84100, Italy

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Marco Mirra Chair of Cardiology, Department of Medicine and Surgery, University of Salerno, Salerno, Italy

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Marco di Maio Chair of Cardiology, Department of Medicine and Surgery, University of Salerno, Salerno, Italy

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Tiziana Attisano Interventional Cardiology, A.O.U. San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy

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Michele Roberto Di Muro Interventional Cardiology, A.O.U. San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy

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Francesco Vigorito Interventional Cardiology, A.O.U. San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy

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Rosario Farina Intensive Coronary Unit, A.O.U. San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy

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Maria Vincenza Polito Chair of Cardiology, Department of Medicine and Surgery, University of Salerno, Salerno, Italy

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Pietro Giudice Interventional Cardiology, A.O.U. San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy

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Federico Piscione Chair of Cardiology, Department of Medicine and Surgery, University of Salerno, Salerno, Italy

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Pages:
19–25
Online Publication Date:
01 Mar 2014
Publication Date:
01 Mar 2014
Article Category:
Research Article
DOI:
https://doi.org/10.1556/imas.6.2014.1.3
Keywords:
coronary angiography; right coronary artery; right radial artery approach; suggestions for radial approach beginners; coronary catheter
Restricted access

Abstract

Transradial approach in cardiac catheterization is increasing. In daily practice, coronary angiography via radial artery is usually performed by using catheters designed for femoral approach. The aim of this study was to evaluate advantages in the use of a workbench reshaped AR1 mod catheter, in terms of procedural duration time, number of catheters per procedure, fluoroscopy time, contrast agent administered volume, images quality and costs. Two hundred patients, submitted to coronary angiography via right radial artery in our institution, have been retrospectively reviewed. Patients have been divided in two groups, depending on whether a workbench reshaped Cordis Amplatz AR1 mod catheter (rAR1 mod), or catheters in their original shape (OC) have been employed. In the rAR1 mod group (100 patients) a lower number of catheters per procedure (1.07 ± 0.25 vs. 1.47 ± 1.65; p < 0.001), a more frequent right coronary selective engagement (76.76% vs. 53.12%; p < 0.001), a smaller amount of contrast agent (63.02 ± 27.77 vs. 80.85 ± 29.22 ml, p < 0.001), a reduced fluoroscopy and global procedural time (4.19 ± 2.91 vs. 5.69 ± 3.85 min, p = 0.004; and 34.58 ± 17.05 vs. 42.58 ± 17.26 min, p = 0.001, respectively) were observed. According to our experience, when right coronary angiography via right radial approach is performed, the utilization of rAR1 mod catheter correlates with multiple advantages in terms of procedural parameters.

  • 1. P. Agostoni G.G.L. Biondi-Zoccai M.L. De Benedictis S. Rigattieri M. Turri M. Anselmi C. Vassanelli P. Zardini Y. Louvard M. Hamon 2004 Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; Systematic overview and meta-analysis of randomized trials J Am Coll Cardiol 44 349 356.

    • Search Google Scholar
    • Export Citation

  • 2. R.A. Archbold N.M. Robinson R.J. Schilling 2004 Radial artery access for coronary angiography and percutaneous coronary intervention BMJ 329 443 446.

    • Search Google Scholar
    • Export Citation

  • 3. O.F. Bertrand S.V. Rao S. Pancholy S.S. Jolly J. Rodés-Cabau E. Larose O. Costerousse M. Hamon T. Mann 2010 Transradial approach for coronary angiography and interventions: Results of the first international transradial practice survey JACC Cardiovasc Interv 3 1022 1031.

    • Search Google Scholar
    • Export Citation

  • 4. S.S. Jolly S. Amlani M. Hamon S. Yusuf S.R. Mehta 2009 Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: A systematic review and meta-analysis of randomized trials Am Heart J 157 132 140.

    • Search Google Scholar
    • Export Citation

  • 5. C.J. Cooper R.A. El-Shiekh D.J. Cohen L. Blaesing M.W. Burket A. Basu J.A. Moore 1999 Effect of transradial access on quality of life and cost of cardiac catheterization: A randomized comparison Am Heart J 138 430 436.

    • Search Google Scholar
    • Export Citation

  • 6. F. Pelliccia C. Trani G.G. Biondi-Zoccai M. Nazzaro A. Berni G. Patti R. Patrizi B. Pironi P. Mazzarotto G. Gioffrè G. Speciale C. Pristipino 2012 Comparison of the feasibility and effectiveness of transradial coronary angiography via right versus left radial artery approaches (from the PREVAIL Study) Am J Cardiol 110 771 775.

    • Search Google Scholar
    • Export Citation

  • 7. M. Hamon C. Pristipino C. Di Mario J. Nolan J. Ludwig M. Tubaro M. Sabate J. Mauri-Ferré K. Huber K. Niemelä M. Haude W. Wijns D. Dudek J. Fajadet F. Kiemeneij 2013 Consensus document on the radial approach in percutaneous cardiovascular interventions: Position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care and Thrombosis of the European Society of Cardiology EuroIntervention 8 1242 1251.

    • Search Google Scholar
    • Export Citation

  • 8. A.J. Chase E.B. Fretz W.P. Warburton W.P. Klinke R.G. Carere D. Pi B. Berry J.D. Hilton 2008 Association of arterial access site at angioplasty with transfusion and mortality: The M.O.R.T.A.L. study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg) Heart 94 1019 1025.

    • Search Google Scholar
    • Export Citation

  • 9. A. Sciahbasi C. Pristipino G. Ambrosio I. Sperduti E.V. Scabbia C. Greco R. Ricci G. Ferraiolo D. Di Clemente C. Giombolini E. Lioy M. Tubaro 2009 Arterial access-site-related outcomes of patients undergoing invasive coronary procedures for acute coronary syndromes (from the ComPaRison of Early Invasive and Conservative Treatment in Patients With Non-ST-ElevatiOn Acute Coronary Syndromes [PRESTO-ACS] Vascular Substudy) Am J Cardiol 103 796 800.

    • Search Google Scholar
    • Export Citation

  • 10. S.V. Rao F.S. Ou T.Y. Wang M.T. Roe R. Brindis J.S. Rumsfeld E.D. Peterson 2008 Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: A report from the National Cardiovascular Data Registry JACC Cardiovasc Interv 1 379 386.

    • Search Google Scholar
    • Export Citation

  • 11. J. Eichhöfer E. Horlick J. Ivanov P.H. Seidelin J.R. Ross D. Ing P. Daly K. Mackie B. Ridley L. Schwartz A. Barolet V. Dzavík 2008 Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use: A large single-center experience Am Heart J 156 864 870.

    • Search Google Scholar
    • Export Citation

  • 12. M. Hamon S. Mehta P.G. Steg D. Faxon P. Kerkar H.J. Rupprecht J.F. Tanguay R. Afzal S. Yusuf 2011 Impact of transradial and trans-femoral coronary interventions on bleeding and net adverse clinical events in acute coronary syndromes EuroIntervention 7 91 97.

    • Search Google Scholar
    • Export Citation

  • 13. M. Valgimigli F. Saia P. Guastaroba A. Menozzi P. Magnavacchi A. Santarelli F. Passerini P. Sangiorgio A. Manari F. Tarantino M. Margheri A. Benassi M.G. Sangiorgi S. Tondi A. Marzocchi 2012 Transradial versus transfemoral intervention for acute myocardial infarction: A propensity score-adjusted and -matched analysis from the REAL (REgistro regionale AngiopLastiche dell'Emilia-Romagna) multicenter registry JACC Cardiovasc Interv 5 23 35.

    • Search Google Scholar
    • Export Citation

  • 14. S.S. Jolly S. Yusuf J. Cairns K. Niemelä D. Xavier P. Widimsky A. Budaj M. Niemelä V. Valentin B.S. Lewis A. Avezum P.G. Steg S.V. Rao P. Gao R. Afzal C.D. Joyner S. Chrolavicius S.R. Mehta 2011 Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): A randomized, parallel group, multicentre trial Lancet 377 1409 1420.

    • Search Google Scholar
    • Export Citation

  • 15. S. Kralev K. Schneider S. Lang T. Süselbeck M. Borggrefe 2011 Incidence and severity of coronary artery disease in patients with atrial fibrillation undergoing first-time coronary angiography PLoS One 6 24964.

    • Search Google Scholar
    • Export Citation

  • 16. A. Sciahbasi E. Romagnoli F. Burzotta C. Trani A. Sarandrea F. Summaria G. Pendenza A. Tommasino R. Patrizi M. Mazzari R. Mongiardo E. Lioy 2011 Transradial approach (left vs right) and procedural times during percutaneous coronary procedures: TALENT study Am Heart J 161 172 179.

    • Search Google Scholar
    • Export Citation

  • 17. G. Di Gioia R. Piccolo T. Niglio C. D'Anna R. De Rosa T. Strisciuglio G. Galasso F. Piscione B. Trimarco 2013 Mortality reduction with transradial approach in patients with ST-segment elevation myocardial infarction: Is the randomized evidence conclusive Int J Cardiol 168 1578 1579.

    • Search Google Scholar
    • Export Citation

  • 18. S.R. Mehta S.S. Jolly J. Cairns K. Niemela S.V. Rao A.N. Cheema P.G. Steg W.J. Cantor V. Džavík A. Budaj M. Rokoss V. Valentin P. Gao S. Yusuf 2012 Effects of radial versus femoral artery access in patients with acute coronary syndromes with or without STsegment elevation J Am Coll Cardiol 60 2490 2499.

    • Search Google Scholar
    • Export Citation

  • 19. A. Vorobcsuk A. Kónyi D. Aradi I.G. Horváth I. Ungi Y. Louvard A. Komócsi 2009 Transradial versus transfemoral percutaneous coronary intervention in acute myocardial infarction. Systematic overview and meta-analysis Am Heart J 158 814 821.

    • Search Google Scholar
    • Export Citation

  • 20. X. Freixa M. Trilla M. Feldman M. Jiménez A. Betriu M. Masotti 2012 Right versus left transradial approach for coronary catheterization in octogenarian patients Catheter Cardiovasc Interv 80 267 272.

    • Search Google Scholar
    • Export Citation

  • 21. T. Vuurmans J. Byrne E. Fretz C. Janssen J.D. Hilton W.P. Klinke O. Djurdjev A. Levin 2010 Chronic kidney injury in patients after cardiac catheterisation or percutaneous coronary intervention: A comparison of radial and femoral approaches (from the British Columbia Cardiac and Renal Registries) Heart 96 1538 1542.

    • Search Google Scholar
    • Export Citation

  • 22. A. Sciahbasi E. Romagnoli C. Trani F. Burzotta G. Pendenza A. Tommasino A.M. Leone G. Niccoli I. Porto M. Penco E. Lioy 2011 Evaluation of the “learning curve” for left and right radial approach during prcutaneous coronary procedures Am J Cardiol 108 185 188.

    • Search Google Scholar
    • Export Citation
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Cover Interventional Medicine and Applied Science
Interventional Medicine and Applied Science
Print ISSN:
2061-1617
Online ISSN:
2061-5094

2019  
Scimago
H-index		 11
Scimago
Journal Rank		 0,220
Scimago
Quartile Score		 Medicine (miscellaneous) Q3
Scopus
Cite Score		 155/133=1,2
Scopus
Cite Score Rank		 General Medicine 199/529 (Q2)
Scopus
SNIP		 0,343
Scopus
Cites		 206
Scopus
Documents		 23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation		 2009
Publication
Programme		 changed title
Volumes
per Year		  
Issues
per Year		  
Founder Akadémiai Kiadó
Founder's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher		 Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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