Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography
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...
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| Language: | English |
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Wiley
2015-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/862156 |
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| author | Marc Vorpahl Till Koehler Jason Foerst Spyridon Panagiotopoulos Heinrich Schleiting Klaus Koss Gunda Ziegler Hilmar Brinkmann Melchior Seyfarth Klaus Tiroch |
| author_facet | Marc Vorpahl Till Koehler Jason Foerst Spyridon Panagiotopoulos Heinrich Schleiting Klaus Koss Gunda Ziegler Hilmar Brinkmann Melchior Seyfarth Klaus Tiroch |
| author_sort | Marc Vorpahl |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-95bbc55b9a4a4a9daf9bc8b0db68d7f2 |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
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| series | Cardiology Research and Practice |
| spelling | doaj-art-95bbc55b9a4a4a9daf9bc8b0db68d7f22025-02-03T05:59:13ZengWileyCardiology Research and Practice2090-80162090-05972015-01-01201510.1155/2015/862156862156Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary AngiographyMarc Vorpahl0Till Koehler1Jason Foerst2Spyridon Panagiotopoulos3Heinrich Schleiting4Klaus Koss5Gunda Ziegler6Hilmar Brinkmann7Melchior Seyfarth8Klaus Tiroch9Department of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyDepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyVirginia Tech Carilion School of Medicine, Roanoke, VA 24016, USADepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyDepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyDepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyDepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyDepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyDepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyDepartment of Cardiology, HELIOS Klinikum Wuppertal, Witten/Herdecke University, 42117 Wuppertal, GermanyCurrent 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.http://dx.doi.org/10.1155/2015/862156 |
| spellingShingle | Marc Vorpahl Till Koehler Jason Foerst Spyridon Panagiotopoulos Heinrich Schleiting Klaus Koss Gunda Ziegler Hilmar Brinkmann Melchior Seyfarth Klaus Tiroch Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography Cardiology Research and Practice |
| title | Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography |
| title_full | Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography |
| title_fullStr | Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography |
| title_full_unstemmed | Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography |
| title_short | Single Center Retrospective Analysis of Conventional and Radial TIG Catheters for Transradial Diagnostic Coronary Angiography |
| title_sort | single center retrospective analysis of conventional and radial tig catheters for transradial diagnostic coronary angiography |
| url | http://dx.doi.org/10.1155/2015/862156 |
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