Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography
Joint Authors
Vorpahl, Marc
Seyfarth, Melchior
Tiroch, Klaus
Koehler, Till
Schleiting, Heinrich
Foerst, Jason
Panagiotopoulos, Spyridon
Koss, Klaus
Ziegler, Gunda
Brinkmann, Hilmar
Source
Cardiology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-08
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Current guidelines favor the radial approach for coronary angiography.
Therefore, specialty radial diagnostic catheters were designed to engage both coronary arteries with a single device.
However, it is unclear if single catheters are superior to conventional catheters.
A retrospective analysis was performed of consecutive right radial coronary angiographies to determine catheter use, fluoroscopy time, radiation dosage, and consumption of contrast.
Procedures were performed with a single TIG catheter or conventional catheters (CONV).
Procedures with coronary artery bypass grafts or ventricular angiographies were excluded.
273 transradial procedures were performed successfully.
95 procedures were performed with CONV and 178 procedures with a TIG.
Crossover to additional catheters was higher in TIG (15.2%) compared to CONV (5.3%, p = 0.02 ).
Fluoroscopy time was comparable between CONV and TIG, without crossover ( 2.2 ± 1.2 min versus 2.3 ± 1.2 min; n.s.), however, greater in the case of crossover for CONV ( 5.8 ± 0.7 ) and TIG ( 7.6 ± 3.0 ; p = 0.0001 ).
Radiation dosage was similar in CONV and the TIG, without crossover ( 1419 ± 1075 , cGy ∗ cm2 versus 1690 ± 1138 ; n.s.), however, greater for CONV ( 2374 ± 620 ) and TIG ( 3733 ± 2281 , p = 0.05 ) with crossover.
Overall, the amount of contrast was greater in TIG ( 56 ± 13 mL) versus CONV ( 48 ± 3 mL; p = 0.0003 ).
CONV femoral catheters may be the primary choice for radial approach.
American Psychological Association (APA)
Vorpahl, Marc& Koehler, Till& Foerst, Jason& Panagiotopoulos, Spyridon& Schleiting, Heinrich& Koss, Klaus…[et al.]. 2015. Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography. Cardiology Research and Practice،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1060366
Modern Language Association (MLA)
Vorpahl, Marc…[et al.]. Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography. Cardiology Research and Practice No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1060366
American Medical Association (AMA)
Vorpahl, Marc& Koehler, Till& Foerst, Jason& Panagiotopoulos, Spyridon& Schleiting, Heinrich& Koss, Klaus…[et al.]. Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography. Cardiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1060366
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060366