Transradial Coronary Angiography—Insights to the One‐Catheter Concept |
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Authors: | Christoph Langer MD FESC Julia Riehle MD Norbert Frey MD Marcus Wiemer MD |
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Institution: | 1. Department of Cardiology, Angiology and Critical Care Medicine, University Medical Center Schleswig‐Holstein, Campus Kiel, Christian‐Albrechts‐Universit?t Kiel, Kiel, Germany;2. Department of Cardiology, Angiology, Internal and Critical Care Medicine, Main‐Taunus‐Kliniken, Academic Hospital of the Goethe University of Frankfurt, Bad Soden, Germany;3. Department of Cardiology and Critical Care Medicine, Johannes‐Wesling‐Klinikum Minden, Academic Hospital of the Medical School Hannover, Minden, Germany |
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Abstract: | Transradial coronary angiography (TRC) can be performed applying only one catheter fitting into the right and left coronary ostia (R/LCO). In this bicentric study (n = 2953), we analyzed the ostial performance of the Tiger_II_catheter widely used in TRC. Compared to Judkins catheters, the Tiger_II is frequently associated with ostial instability within the LCO but fits better into the RCO—irrespective of tube size. Judkins catheters generally need more peri‐procedural contrast and radiation exposure. TRC may be started using a 5F_Tiger_II on the right side in order to be switched to 5F Judkins in case of propable LCO instability. (J Interven Cardiol 2016;29:113–116) |
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