The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Coronary interventions

First prospective multicentre experience with left distal transradial approach for coronary chronic total occlusion interventions using a 7 Fr Glidesheath Slender

EuroIntervention 2019;15:126-128. DOI: 10.4244/EIJ-D-18-00648

1. Department of Invasive Cardiology, Humanitas Research Hospital, Rozzano, Italy; 2. Department of Invasive Cardiology, San Giovanni Bosco Hospital, Turin, Italy; 3. Department of Invasive Cardiology, Maria Vittoria Hospital, Turin, Italy; 4. Department of Invasive Cardiology, Niguarda Hospital, Milan, Italy; 5. Department of Invasive Cardiology, Maggiore Hospital, Lodi, Italy
Introduction

Chronic total occlusion (CTO) represents the most challenging setting for percutaneous coronary intervention (PCI). Although transfemoral (TF) access is still the preferred one, procedural success with the transradial (TR) approach can potentially reach comparable rates1. The small size of the radial artery remains a limitation for the use of >6 Fr guiding catheters. Aminian et al have reported their experience with the 7 Fr Glidesheath Slender® (Terumo, Tokyo, Japan) in complex TR-PCI, showing a high procedural success rate and a low rate of vascular complications2. Left distal transradial access (ldTRA) has been described for PCI3; however, no data ...

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