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Five French versus 6 French PCI: a case control study of efficacy, safety and outcome.
- Source :
-
The Journal of invasive cardiology [J Invasive Cardiol] 2002 Nov; Vol. 14 (11), pp. 670-4. - Publication Year :
- 2002
-
Abstract
- We report our experience of percutaneous coronary intervention (PCI) with 5 French (Fr) guiding catheters in a retrospective analysis of consecutive cases undergoing ad hoc PCI. Results were compared with a cohort of 6 Fr PCI cases matched for age, sex and operator over the same study period. A total of 210 patients (311 lesions) underwent PCI using 5 Fr guiding catheters and 174 matched patients (300 lesions) underwent PCI with 6 Fr guiding catheters. Multivessel PCI was performed in 18% of patients in the 5 Fr group and in 26% of the 6 Fr group (p = 0.046). There was no difference in clinical, angiographic or procedural characteristics between groups. Technical success rate was superior in the 5 Fr group compared with the 6 Fr (99% versus 95%; p = 0.03). The rate of stent implantation did not differ and the 5 Fr guiding catheter did not prohibit the use of large or long stents/balloons. Failure of 5 Fr PCI in 3 cases was not due to inadequate guiding catheter support. In-hospital major adverse cardiac events (MACE) and serious femoral complications were rare and at 6-month follow-up did not differ between groups. However, compared with 6 Fr PCI, procedure time and contrast medium usage was significantly less in the 5 Fr group (contrast: 274 +/- 101 ml versus 313 +/- 124 ml; p = 0.0008; fluoroscopy time: 16 +/- 9 minutes versus 19 +/- 12 minutes; p = 0.006). We conclude that the use of 5 Fr guiding catheters is effective and safe in unselected patients undergoing PCI and may even confer certain advantages. The 5 Fr approach can be recommended for routine interventional practice.
- Subjects :
- Adult
Aged
Aged, 80 and over
Case-Control Studies
Chi-Square Distribution
Equipment Safety
Female
Hemostasis, Surgical methods
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Angioplasty, Balloon, Coronary adverse effects
Angioplasty, Balloon, Coronary instrumentation
Coronary Disease therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1042-3931
- Volume :
- 14
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- The Journal of invasive cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 12403895