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- Title
Reduction of bleeding complications on puncture site after percutaneous coronary intervention using a 6.5-French sheathless guiding catheter.
- Authors
Akioka, Hidefumi; Yufu, Kunio; Harada, Taisuke; Akamine, Koshiro; Uemura, Tetsuya; Takahashi, Masaki; Nishimizu, Kyohei; Hirota, Kei; Ishii, Yumi; Kira, Shintaro; Yonezu, Keisuke; Abe, Ichitaro; Tawara, Katsunori; Kondo, Hidekazu; Saito, Shotaro; Fukui, Akira; Okada, Norihiro; Shinohara, Tetsuji; Teshima, Yasushi; Nakagawa, Mikiko
- Abstract
Background: Reducing complications at the puncture site after percutaneous coronary intervention (PCI) is important. The diameter of a 6.5-French (Fr) sheathless guiding catheter (GC) is smaller by approximately 2-Fr compared to a 6-Fr conventional sheath. In the present study, we investigated the post-PCI puncture site complications of a transradial approach in each gender while using a 6.5-Fr sheathless GC. Methods and results: Our study consisted of 332 patients who underwent transradial coronary intervention (TRI) between August 2017 and July 2019. We classified the patients into either the 6.5-Fr sheathless GC (Asahi, Intecc, Aichi, Japan) Group (Sheathless group: n = 182 males, 58 females) or the 6-Fr sheathed GC Group (Sheathed group: n = 150 males, 36 females). We determined the complications at the puncture site: oozing, subcutaneous hemorrhage, formation of hematoma, pseudoaneurysms, and peripheral neuropathy. The body mass index of the patients was greater in the sheathless GC group compared to the sheathed GC group (24.5 ± 3.5 kg/m2 vs. 23.6 ± 3.7 kg/m2, p = 0.02). In males, there was no significant difference in the complication rate at the puncture site between the sheathless GC and sheathed GC groups (19.3% vs. 18.6%, p = 0.88). However, the complication rate at the puncture site in females was higher in the sheathed GC group than in the sheathless GC group (36% vs. 15.5%, p = 0.02). A multiple logistic regression analysis revealed that the use of a 6.5-Fr sheathless GC independently reduced the complications in female patients (p = 0.006). Conclusion: The use of the 6.5-Fr sheathless GC system in a transradial approach reduced the complications at the puncture site in female patients. The 6.5-Fr sheathless GC system may be a safe option for them compared to the conventional sheath system.
- Subjects
PERCUTANEOUS coronary intervention; MULTIPLE regression analysis; LOGISTIC regression analysis; BODY mass index; CATHETERS
- Publication
Heart & Vessels, 2022, Vol 37, Issue 6, p954
- ISSN
0910-8327
- Publication type
Article
- DOI
10.1007/s00380-021-02005-8