Conflict of interest: Nothing to report.
E-ONLY: Coronary Artery Disease
Transradial percutaneous coronary intervention for chronic total occlusion using sheathless technique and retrograde approach
Article first published online: 18 MAR 2013
Copyright © 2013 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 82, Issue 3, pages E206–E210, 1 September 2013
How to Cite
Lin, C.-J., Fang, H.-Y., Chen, T.-H. and Wu, C.-J. (2013), Transradial percutaneous coronary intervention for chronic total occlusion using sheathless technique and retrograde approach. Cathet. Cardiovasc. Intervent., 82: E206–E210. doi: 10.1002/ccd.24758
Cheng-Jui Lin and Tien-Hsing Chen contributed equally to this work.
- Issue published online: 26 AUG 2013
- Article first published online: 18 MAR 2013
- Accepted manuscript online: 21 NOV 2012 02:57PM EST
- Manuscript Accepted: 7 NOV 2012
- Manuscript Revised: 26 OCT 2012
- Manuscript Received: 7 FEB 2012
- chronic total occlusion;
- transradial intervention
The use of 5 or 6 Fr sheath in transradial (TR) approach is often required due to the relative small radial artery size. A sheathless approach may overcome the limitation of small radial size which limits the TR approach. Our case showed successful angioplasty of the right coronary artery chronic total occlusion (CTO) by bilateral TR approaches, utilizing a 7-Fr guide (7 Fr BL 3.5, 85 cm) for a retrograde sheathless approach, and a 6-Fr Ikari 3.5 guide catheter for an antegrade approach. The sheathless TR technique can minimize vascular trauma and increase back-up support for successful coronary intervention in CTO.© 2013 Wiley Periodicals, Inc.