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May 1, 1992Catheterization and Cardiovascular Diagnosis

Coronary angioplasty using an over‐the‐wire balloon catheter through a new 6 french guiding catheter

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Authors

KUKatsumi UenoInterventional CardiologyYKYasunori KotooGifu Prefectural General Medical CenterMAMasazumi AraiGifu Prefectural General Medical Center

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Implication

Observational study demonstrates high success and reduced compression time with 6 French angioplasty, suggesting faster recovery and fewer complications.

Key Points

  • To evaluate the feasibility, procedural success, and clinical outcomes of performing coronary angioplasty using an over-the-wire balloon through a newly developed 6 French guiding catheter.
  • Evaluated 48 coronary lesions in 45 patients (out of 137 undergoing angioplasty; mean age 64 years, 82% male) between September 1990 and January 1991.
  • Administered the 6 French system with a 4.2 French lumen via the brachial artery (n=28) or femoral artery (n=17) and compared vascular outcomes to conventional 8 French femoral angioplasty.
  • The overall primary procedural success rate was 96% (100% via brachial access and 90% via femoral access) with zero major complications.
  • Puncture compression time was significantly lower for 6 French brachial (3.8 hr) and 6 French femoral (9.6 hr) compared to 8 French femoral procedures (16.9 hr; P < 0.001), despite no significant difference in procedure duration.
  • Mean hospital stay was 3.1 days for 6 French brachial, 4.5 days for 6 French femoral, and 5.5 days for 8 French femoral (P < 0.01), with large hematomas (>5 cm) occurring exclusively in the 8 French group (7.6% vs 0%).

Cite This Study

Ueno et al. (1992) studied this question.

synapsesocial.com/papers/6aa4e208619ecad50f3d64f4https://doi.org/10.1002/ccd.1810260114
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preliminary experience with 5 and 6 french diagnostic catheters as guiding catheters for coronary angioplasty1991 · 18 citations
  2. 2Coronary balloon angioplasty through diagnostic 6 french catheters1991 · 22 citations
  3. 3Nonoperative Dilatation of Coronary-Artery Stenosis1979 · 2,423 citations
  4. 4Percutaneous entry of the brachial artery for transluminal coronary angioplasty1988 · 14 citations