| Coronary intervention with 4-French catheters. | |
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MedLine Citation:
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PMID: 20049960 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We sought to determine whether 4-Fr percutaneous coronary intervention (PCI) is associated with technical difficulties that might have an unfavorable impact on procedural parameters. BACKGROUND: Four-Fr PCI is often associated with difficulties in catheter manipulation, which may lead to greater time consumption and increased dye usage when compared with PCI employing larger guiding catheters. METHODS: From July 2007 to March 2009, 62 patients underwent 4-Fr PCI. Procedural characteristics were compared between patients who underwent 4-Fr PCI in 2007 (early phase: 31 lesions in 26 patients) and those underwent in 2008 or later (later phase: 40 lesions in 36 patients). RESULTS: Ad-hoc coronary intervention (3% vs. 23%, P < 0.05) and deep-vessel intubation (46% vs. 91%, P < 0.05) were observed less frequently in the late phase than the early phase. Fluoroscopy time (8 +/- 6 min vs. 17 +/- 15 min, P < 0.05) and the amount of contrast dye used (64 +/- 33 mL vs. 90 +/- 46 mL, P < 0.05) were significantly reduced in the late phase than the early phase. No access site-related complications were observed in patients in either phase. CONCLUSIONS: The performance of 4-Fr PCI requires a certain learning curve, following which a reduction in fluoroscopy time and use of contrast dye may be achieved. This improvement in procedural parameters and the low incidence of access site-related complications might allow 4-Fr PCI to serve as a minimally invasive approach for the treatment of coronary artery diseases. |
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Authors:
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Satoshi Takeshita; Shinji Tanaka; Shigeru Saito |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 75 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-30 Completed Date: 2010-06-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 735-9 Citation Subset: IM |
Copyright Information:
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(c) 2009 Wiley-Liss, Inc. |
Affiliation:
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Department of Cardiology and Catheterization Laboratory, Shonan Kamakura General Hospital, Kamakura, Japan. stake@muse.ocn.ne.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / adverse effects, instrumentation* Chi-Square Distribution Clinical Competence Contrast Media / diagnostic use Coronary Artery Disease / radiography, therapy* Equipment Design Female Fluoroscopy Humans Male Middle Aged Miniaturization Radiography, Interventional Retrospective Studies Stents Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2010 Apr 1;75(5):740-1
[PMID:
20333674
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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