Material miniaturization during transradial approach Michael Koutouzis, MD, PhD, FESC Interventional Cardiologist, 2nd Department of Cardiology Hellenic Red Cross General Hospital
Material miniaturization during transradial approach
Michael Koutouzis, MD, PhD, FESC
Interventional Cardiologist,
2nd Department of Cardiology
Hellenic Red Cross General Hospital
Conflict of interest
- Astra Zeneca Hellas
- Lilly-Φαρμασερβ
- Galenica A.E.
- ELPEN A.E.
Why should we reduce material size?
- Improve patient comfort
- Reduce the incidence of RAO
Radial Artery Inner Diameter/Sheath Outer Diameter (RAID/SOD)
RAID/SOD ≥1 4%
RAID/SOD <1 13%
SHEATH OUTER DIAMETERS
4F 2mm
5F 2.3mm
6F 2.7mm
7F 2.85mm
8F 3.22mm
Reduce size by 1Fr
Sheathless Catheters
Reduce size 1-2 Fr
Reduce size 1-2 Fr
Sheathless Catheter preperation and insertion
Sheathless Catheter preperation and insertion
B
Insertion achieved using 5Fr x 125cm Shuttle Select diagnostic catheter
125cm 5Fr multipurpose diagnostic catheter
5 in 6Fr Guideliner Catheter
Dilator of a 4Fr 110cm sheath into 5Fr catheter
Partially inflated coronary balloon
High complication rate
13% Radial Artery occlusion11% early pseudoaneurysmal dilatation20% localized hematoma
Thank you