Document Detail

A randomized trial of 5 versus 7 French guiding catheters for transfemoral percutaneous coronary stent implantation.
MedLine Citation:
PMID:  18093100     Owner:  NLM     Status:  MEDLINE    
Comparative studies between 5 French guiding catheter and others of larger size using the transfemoral approach to coronary stenting have not been described. Coronary stent implantation was performed in 90 patients in a randomized trial. The primary end-point was to compare the incidence of successful uncomplicated stent implantation per lesion with the 5F and 7F guiding catheters. Patients were excluded for excessive vessel tortuosity or anticipated need for equipment not fitting through a 5 catheter. Baseline characteristics and the use of direct stenting did not differ between the two groups. The primary success rate was 97.8% per patient in both groups and 98% per lesion in the 5 French and 97.9% in the 7 French. Guiding catheter change was necessary in 1 patient in each group to successfully complete the procedure in both groups. The amount of contrast used was 63 +/- 27.3 mL in the 5 French and 76 +/- 25 mL in the 7 French groups (P < 0.05). Vascular complications and blood transfusions occurred somewhat more frequently in the 7 French group (P = 0.058). The manual compression time after sheath removal was 5.1 +/- 2.0 min and 8.0 +/- 4.3 min, respectively, in the 5 and 7 French groups (P < 0.01). In conclusion, the 5 French guiding catheters showed a similar success rate with coronary stenting when compared to the 7 French, but the amount of contrast used and manual compression time after sheath removal, as well as the rate of vascular and bleeding complications, were reduced in the 5 French group.
Jorge R Büchler; Expedito E Ribeiro; João L Falcão; Eulógio E Martinez; Rica D Büchler; Fausto Feres; José R Maielo; Nagib Haddad; José F Ramires; Stephen G Ellis
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial     Date:  2007-12-17
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  21     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-07     Completed Date:  2008-05-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  50-5     Citation Subset:  IM    
Incor - The Heart Institute, University of São Paulo, USP, São Paulo, SP, Brazil.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Coronary Angiography
Femoral Artery*
Heart Catheterization / adverse effects,  instrumentation
Middle Aged
Prospective Studies

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