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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