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July 1, 1994Catheterization and Cardiovascular Diagnosis

Coronary angioplasty through a new 6 french guiding catheter

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Key result

6F guiding catheters match 7F success rates while reducing procedural blood loss.

  • n=140

Why the study?

Does percutaneous transluminal coronary angioplasty using a 6F guiding catheter maintain procedural success and reduce blood loss compared to a 7F guiding catheter in patients undergoing coronary angioplasty?

Population

140 patients undergoing percutaneous transluminal coronary angioplasty

Comparison

Percutaneous transluminal coronary angioplasty… vs Percutaneous transluminal coronary angioplasty…

Design

Cohort, Nonrandomized (7F procedures were randomly selected for comparison)

Follow-up

Procedural

Authors

JRJon R. ResarInterventional CardiologyKPKerry C. PrewittCardiovascular Research AssociatesMWMatthew R. WolffUniversity of Wisconsin–Madison

Discussion

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Implication

May support 6F catheter preference to limit blood loss; leaves open randomized confirmation of noninferiority.

Study Design

Type

Observational (n=140)

Structured PICO

Does percutaneous transluminal coronary angioplasty using a 6F guiding catheter maintain procedural success and reduce blood loss compared to a 7F guiding catheter in patients undergoing coronary angioplasty?

P
Population
140 patients undergoing percutaneous transluminal coronary angioplasty, comparing a new 6F guiding catheter to 7F guiding catheters.
E
Exposure
Percutaneous transluminal coronary angioplasty using a new 6F guiding catheter with over-the-wire balloon systems
C
Comparator
Percutaneous transluminal coronary angioplasty using 7F guiding catheters
O
Outcome
Procedural success rate (per lesion and per patient)surrogate

Main Result

Absolute Event Rate: 94% vs 97.1%

Using a 6F guiding catheter for coronary angioplasty is feasible, with success rates comparable to 7F catheters, and significantly reduces procedural blood loss.

Cite This Study

Resar et al. (1994) conducted an observational in Coronary lesions requiring angioplasty (n=140). 6F guiding catheter with over-the-wire balloon systems vs. 7F guiding catheters was evaluated on Procedural success in patients. Coronary angioplasty using a new 6F guiding catheter achieved similar patient success rates to 7F catheters (94.0% vs 97.1%) and significantly reduced procedural blood loss (P<0.001).

synapsesocial.com/papers/6aa4e279f188d5f0710a4d36https://doi.org/10.1002/ccd.1810320316
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coronary angioplasty using an over‐the‐wire balloon catheter through a new 6 french guiding catheter1992 · 10 citations
  2. 2Coronary angioplasty using new 6 french guiding catheters1991 · 25 citations
  3. 3Coronary angioplasty using an autoperfusion balloon catheter through a 6 french guiding catheter1993 · 2 citations
  4. 4Preliminary experience with 5 and 6 french diagnostic catheters as guiding catheters for coronary angioplasty1991 · 18 citations
  5. 5Percutaneous transluminal coronary angioplasty through 4 french diagnostic catheters1992 · 32 citations