title: Multicentre, prospective, randomized trial of 4 vs. 6 French catheters in 410 patients undergoing coronary angiography.
abstract: The aim of this study was to assess the quality of angiograms obtained using 4 Fr catheters compared with 6 Fr catheters, the ease of use of the 4 Fr catheters, and the safety of patient mobilization 1 hr following 4 Fr angiography. Details of catheter performance and procedural details were recorded at the time of the angiogram. The angiographic images were scored on the quality and completeness of vessel opacification throughout systole and diastole. A total of 410 patients were recruited. There was no difference between 4 and 6 Fr for procedural variables. All angiograms were considered to be of diagnostic quality. The angiographic scores for the right coronary artery and left ventricular injections were no different between 4 and 6 Fr. However, the angiographic scores for the left anterior descending and circumflex arteries were lower with 4 than with 6 Fr (both P < 0.05). Patients who had 4 Fr angiography mobilized safely at 1 hr and reported significantly less discomfort and bruising than 6 Fr patients. Good-quality diagnostic coronary angiograms can be achieved using 4 Fr catheters with the advantage of earlier postprocedural mobilization and reduced discomfort and bruising for the patient.
authors.affiliation: Glenfield Hospital, Leicester, UK. drdtodd@aol.com
authors.forename: D M
authors.initials: DM
authors.lastname: Todd
authors.forename: P J
authors.initials: PJ
authors.lastname: Hubner
authors.forename: N
authors.initials: N
authors.lastname: Hudson
authors.forename: J
authors.initials: J
authors.lastname: Sarma
authors.forename: A J
authors.initials: AJ
authors.lastname: McCance
authors.forename: J
authors.initials: J
authors.lastname: Caplin
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002404:Catheterization; D017023:Coronary Angiography / Q000295:instrumentation*; D023921:Coronary Stenosis / Q000175:diagnosis*; D004562:Electrocardiography; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome